Abstract
Intramural small intestinal hemorrhage can occur in a variety of disorders and must be considered in any patient with a bleeding tendency and abdominal symptoms. This entity has not been previously reported ante mortem in uremia. A uremic patient was studied who had the characteristic roentgenographic and clinical findings of small intestinal hematoma. Coagulation studies revealed an acquired thrombocyopathy characterized by a prolonged bleeding time and defective adenosine diphosphate (ADP)-induced platelet factor 3 release. After repeated peritoneal dialyses with improvement of the thrombocytopathic lesion, the clinical and x-ray manifestations of the intramural small-bowel hematoma disappeared. It is important to recognize this entity for conservative management almost always is associated with resolution of the hematoma.
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