کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4289598 1612122 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Bilateral spontaneous, simultaneous lower extremity hematomas in a patient on dalteparin
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Bilateral spontaneous, simultaneous lower extremity hematomas in a patient on dalteparin
چکیده انگلیسی

INTRODUCTIONBleeding related to low-molecular-weight heparins (LMWHs) is typically described as an excess of minor bleeding; however, several reports of spontaneous major bleeding have been noted.PRESENTATION OF CASEA 58-year-old female presented to the hospital with bilateral spontaneous lower extremity hematomas which rapidly enlarged. CT studies demonstrated active arterial extravasation from small vessels at multiple sites within each leg with no dominant feeding artery identified on either side. She required multiple transfusions, administration of protamine, fresh frozen plasma (FFP), recombinant activated Factor VII and eventual surgery.DISCUSSIONDalteparin provides an effective and economical method of anticoagulation, however there is a risk of significant, spontaneous arterial hemorrhage even in the absence of risk factors.CONCLUSIONDalteparin can cause major spontaneous bleeding from multiple arterial sources.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery Case Reports - Volume 4, Issue 12, 2013, Pages 1080–1083
نویسندگان
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