Small Bowel Obstruction Caused by Blood Clots: A Rare Complication of Peptic Ulcer

Naoto Mizumura, Atsuo Imagawa, Masayasu Kawasaki, Satoshi Okumura, Sho Toyoda, Masao Ogawa


Small bowel obstruction (SBO) caused by blood clots is an extremely rare complication of peptic ulcer. A 20-year-old woman presented to our hospital with coffee ground vomitus and diffuse abdominal tenderness. Computed tomography (CT) findings led us to the diagnosis of complete SBO caused by blood clots as a result of bleeding from a gastric ulcer. We successfully treated the patient by dissolution and evacuation therapy using a long intestinal tube, and no surgery was required. Peptic ulcer may cause occlusive intraluminal hematoma. In such cases, CT findings and long tube therapy may help avoid surgery.

J Med Cases. 2015;6(10):477-479


Blood clots; Intraluminal hematoma; Long intestinal tube; Peptic ulcer; Small bowel obstruction

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