Abstract
With expanding avenues of oral anti-coagulant (OAC) use, the complications associated with it are also increasing. The incidence of hemorrhagic complications following oral anticoagulation varies between 3 and 48%.1,2 Spontaneous intra-abdominal hemorrhage associated with oral anticoagulant may present as an acute abdominal condition. The earliest such case was reported in 1953.3 Bleeding may occur into the lumen, wall or mesentery of the bowel, retroperitoneum, into or from solid viscera and into abdominal wall.4 We report a case of spontaneous mesenteric hematoma with adjacent small bowel gangrene in a patient on oral anticoagulation.
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