Sabbah M*, Bibani N, Ben Azzouz S, Bellil N, Ouakaa A, Elloumi H, Trad D, Gargouri D
Department of gastroenterology. Habib Thameur Hospital
*Corresponding author: Sabbah Meriam, Department of gastroenterology. Habib Thameur Hospital, Rue El Messelekh, Montfleury, 1002 Tunis Tunisie.
Received: December 21, 2019
Published: January 6, 2020
A 59-year-old man with history of diabetes and vein thrombosis of the limb with indication for life anticoagulation for life presented for vomiting and anemia without GI bleeding. Hemoglobin level was 7 while INR was >15. After reanimation (antivitamin K and transfusion), abdominal tomodensitometry was perfomed, showing circumferential spontaneously hyperdense parietal thickening of the third duodenum and the Treitz angle, 24 mm thick, associated with mesenteric densification.