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https://open.uns.ac.rs/handle/123456789/9249
Title: | Rectus sheath haematoma: Enoxaparin-related complication | Authors: | Lazar Velicki Nada Čemerlić Ađić D. Bogdanović T. Mrđanin |
Keywords: | Haematoma;acute coronary syndrome;enoxaparin;haemorrhage;surgery | Issue Date: | 1-Jan-2013 | Journal: | Acta Clinica Belgica | Abstract: | Rectus sheath haematoma, an uncommon complication related to subcutaneous administration of enoxaparin, has overall mortality of 4%. Possible mechanisms include unintended intramuscular injection of enoxaparin, and enhanced anticoagulant effect in the elderly and patients with increased bleeding risk. We describe the case of an 80 year-old female patient who was treated after a non-ST-elevated myocardial infarction, with enoxaparin, aspirin and clopidogrel. After a single dose of enoxaparin, the patient developed massive rectus sheath haematoma that was promptly diagnosed and was surgically managed. The patient recovered uneventfully. With incremented use of low-molecular weight heparins in the elderly, one may expect a growing number of bleeding complications. | URI: | https://open.uns.ac.rs/handle/123456789/9249 | ISSN: | 15512 | DOI: | 10.2143/ACB.68.2.3213 |
Appears in Collections: | MDF Publikacije/Publications |
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