Spontaneous haemoperitoneum from surreptitious ingestion of a rodenticide.

Soubiron, L;Hantson, Philippe;Michaux, Isabelle;Lambert, Michel;Pringot, Jacques;et.al.
(2000) European Journal of Emergency Medicine — Vol. 7, n° 4, p. 305-307 (2000)

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Abstract
Superwarfarins have progressively replaced warfarin as rodenticides as they are more potent and have a longer anticoagulant activity. Human exposure may be complicated by spontaneous haemorrhage in various sites. We report the case of a 51-year-old woman who was admitted with spontaneous haemoperitoneum and intramural haematoma along the small intestine. After the evidence of a deficit of vitamin K1-dependent clotting factors (II, VII, IX, X), the patient admitted that she was chronically ingesting difenacoum. She was successfully treated with fresh frozen plasma and vitamin K1. Follow-up was not accepted.
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Soubiron, L., Hantson, P., Michaux, I., Lambert, M., Mahieu, P., & Pringot, J. (2000). Spontaneous haemoperitoneum from surreptitious ingestion of a rodenticide. European Journal of Emergency Medicine, 7(4), 305-307. https://doi.org/10.1097/00063110-200012000-00011 (Original work published 2000)