Superwarfarin poisoning as a cause of intestinal obstruction

A 17-year-old boy was brought to our department with nausea, vomiting, absence of flatus or bowel movements, abdominal distension, and pain for about 5 days. Emergency abdominal CT scan showed extensive gas-fluid levels in the intestinal tract and intestinal wall swelling that indicated acute intest...

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Bibliographic Details
Published inClinical toxicology (Philadelphia, Pa.) Vol. 48; no. 3; pp. 238 - 239
Main Authors Nie, Hu, Wei, Wei, Cao, Yu, Du, Xiao-Dong
Format Journal Article
LanguageEnglish
Published England Informa UK Ltd 01.03.2010
Taylor & Francis
Subjects
4-Hydroxycoumarins - poisoning
Adolescent
Antifibrinolytic Agents - administration & dosage
Antifibrinolytic Agents - therapeutic use
Emergency Service, Hospital
Humans
Intestinal obstruction
Intestinal Obstruction - chemically induced
Male
Plasma
Poisoning
Rodenticides - poisoning
Superwarfarin
Tomography, X-Ray Computed
Vitamin K 1 - administration & dosage
Vitamin K 1 - therapeutic use
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Summary:A 17-year-old boy was brought to our department with nausea, vomiting, absence of flatus or bowel movements, abdominal distension, and pain for about 5 days. Emergency abdominal CT scan showed extensive gas-fluid levels in the intestinal tract and intestinal wall swelling that indicated acute intestinal obstruction. Routine coagulation tests revealed abnormality and further provided evidence of superwarfarin poisoning. With high dosage of vitamin K1 and fresh frozen plasma therapy, surgery was avoided.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1556-3650
1556-9519
DOI:10.3109/15563650903555302