Case Report of Warfarin Induced Hemoperitoneum

Abstract

Although spontaneous hemoperitoneum is a rare condition, it has the potential to be devastating. A common coumarin anti-coagulant used for therapeutic and preventive anticoagulation is warfarin. Despite being a drug that can save lives, it is linked to severe side effects, mainly bleeding. The aim and objective of the study include the unusual occurrence of Hemoperitoneum that an Anti-Coagulant Drug Warfarin induces. Although reports of spontaneous hemoperitoneum in anticoagulant-using individuals have been published in the literature, diagnostic standards and therapeutic approaches have not yet been firmly established. PT INR should be routinely checked when warfarin is prescribed to prevent any problems. Intraabdominal bleeding resulting from non-traumatic reasons or organ rupture within the abdomen is known as spontaneous hemoperitoneum. The presence of intra-abdominal bleeding from a non-traumatic origin is known as spontaneous hemoperitoneum. Hemoperitoneum from warfarin is a known side effect that can be fatal. It might be challenging to manage unexpected bleeding while keeping the INR under control and preventing thrombosis. If the INR is out of range, there is a higher risk of warfarin-induced bleeding. The spontaneous hemoperitoneum described in this case report was caused by warfarin over-toxicity in a patient with rheumatic heart disease. The indications and symptoms resemble a ruptured corpus luteal cyst or an ectopic pregnancy. Although the patients undergoing Anti-coagulant therapy, especially warfarin, may experience other symptoms like GI bleeding, Nausea, Hematuria and so on.