Enoxaparin-associated giant retroperitoneal hematoma in pulmonary embolism treatment

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dc.contributor.authorBeşir, Fahri Halit
dc.contributor.authorGül, Mesut
dc.contributor.authorÖrnek, Tacettin
dc.contributor.authorÖzer, Tülay
dc.contributor.authorUçan, Bülent
dc.contributor.authorKart, Levent
dc.date.accessioned2020-04-30T13:32:25Z
dc.date.available2020-04-30T13:32:25Z
dc.date.issued2011
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractContext: Retroperitoneal hematoma may usually occur as a result of trauma. A life threatening retroperitoneal hematoma is not expected complication of anticoagulation treatment and rarely reported. Low molecular weight heparins (Enoxaparin) which are used as effective and safe medicine in the venous thromboemboly treatment have some major complications such as hematomas of different organs. We aim to present a giant spontaneous retroperitoneal hematoma after anticoagulant treatment of pulmonary embolism with enoxaparin. Case Report: A 73-year-old male patient with the diagnosis of pulmonary embolism underwent anticoagulant treatment (enoxaparin). In the second day of admission, the patient had an episode of abdominal and back pain. Abdominal ultrasonography and computerized tomographic scan revealed a giant retroperitoneal hematoma. Enoxaparin treatment was then stopped and the supportive treatment was started. In the following days, hemoglobin levels returned to normal and a control CT revealed regression of hematoma size. Conclusion: The anticoagulant treatment with enoxaparin may lead to severe hematomas. Therefore, the clinical suspicion is required especially in elderly patients and patients with impaired renal function for retroperitoneal hematoma, when they suffer from acute abdominal pain.en_US
dc.identifier.doi10.4297/najms.2011.3524en_US
dc.identifier.endpage526en_US
dc.identifier.issn1947-2714
dc.identifier.issue11en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage524en_US
dc.identifier.urihttps://dx.doi.org/10.4297/najms.2011.3524
dc.identifier.urihttps://hdl.handle.net/20.500.12684/281
dc.identifier.volume3en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofNorth American Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute abdominal pain; Anticoagulant; Pulmonary embolism; Retroperitoneal hematomaen_US
dc.titleEnoxaparin-associated giant retroperitoneal hematoma in pulmonary embolism treatmenten_US
dc.typeArticleen_US

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