Enoxaparin-induced spontaneous massive retroperitoneal hematoma with fatal outcome

被引：12

作者：

Salemis, Nikolaos S. ^{[1
]}

Oikonomakis, Ioannis ^{[1
]}

Lagoudianakis, Emanuel ^{[1
]}

Boubousis, Georgios ^{[1
]}

Tsakalakis, Christos ^{[2
]}

Sourlas, Sotirios ^{[2
]}

Gourgiotis, Stavros ^{[3
]}

机构：

[1] 401 Army Gen Hosp, Dept Surg 2, Athens, Greece

[2] 401 Army Gen Hosp, ICU, Athens, Greece

[3] 417 NIMTS Vet Fund Hosp, Dept Surg 1, Athens, Greece

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2014年 / 32卷 / 12期

关键词：

HEMORRHAGE; PATIENT;

D O I：

10.1016/j.ajem.2014.05.026

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Spontaneous retroperitoneal hematoma (SRH) is a severe and potentially fatal complication of anticoagulation therapy. We describe a case of fatal spontaneous massive retroperitoneal hematoma in a female patient receiving bridging therapy with enoxaparin for atrial fibrillation. Physicians should be cautious when prescribing enoxaparin in elderly patients, in patients with impaired renal function, and in patients receiving concomitant oral anticoagulants. Emergency physicians should always consider SRH in the differential diagnosis in patients under enoxaparin therapy presenting with abdominal pain. Computed tomographic scan is the imaging modality of choice for evaluating SRH. Early diagnosis and aggressive treatment are of paramount importance as SRH is associated with high mortality and morbidity rates.

引用

页码：1559.e1 / 1559.e3

页数：3

共 13 条

[1] Enoxaparin-associated giant retroperitoneal hematoma in pulmonary embolism treatment [J].