Case Report
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A Rare Case of Anemia Caused by Retroperitoneal Hematoma

Year 2021, Volume 10, Issue 2, 276 - 279, 31.08.2021
https://doi.org/10.47493/abantmedj.834206

Abstract

Introduction: Retroperitoneal hemorrhage has been reported with enoxaparin therapy. İn this article, spontaneous retroperitoneal hemorrhage developed in a patient using enoxaparin due to deep vein thrombosis is discussed. Case Report: A seventy-six-year-old male patient was admitted to the emergency department with the complaint of fatigue. On deeper introspection, our patient had, in the recent past, been used enoxaparin for deep vein thrombosis. In the physical examination was natural except subcutaneous minimal hematoma in the upper extremity bilateral enoxaparin area. İn laboratory tests, hemoglobin: 4.6 g / dl, urea: 158 mg / dl and creatinine were determined as 1.86 mg / dl. Abdominopelvic computed tomography imaging were performed and retroperitoneal hemorrhage reaching a depth of 4 cm adjacent to the right psoas muscle was detected. The patient, who did not develop additional complications after FFP and erythrocyte suspension replacement during the intensive care follow-ups and did not need surgical treatment, was discharged on the 17th day of his hospitalization in good health. Conclusion: When patients under enoxoparine treatment present with the complaint of fatigue, major bleeding may be seen when anemia is detected. One should be vigilant in terms of retroperitoneal bleeding as the bleeding focus in these patients.

References

  • 1. Yusuf H, Tsai J, Sıddıki A,et al. Emergency department visits by patients with venous thromboembolism, 1998-2009. J Hosp Adm 2012; 1: 1–8.
  • 2. Othieno R, Okpo E, Forster R. Home versus in-patient treatment for deep vein thrombosis. Cochrane Database of Systematic Reviews 2018, Issue 1. Art. No.: CD003076.
  • 3. Buller HR. Treatment of symptomatic venous thromboembolism: improving outcomes. Semin Thromb Hemost 2002;28:S41–8.
  • 4. Ernits M. Mohan P.S. Fares II, L.G. Hardy III, H. A retroperitoneal bleed induced by enoxaparin therapy. Am Surg. 2005; 71: 430-433
  • 5. Sunga KL, Bellolio MF, Gilmore RM, Cabrera D (2012) Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med 43:e157–e161
  • 6. Morgan RJ, Bristol JB. Unusual findings in a patient taking warfarin. Postgrad Med J 75: 299–300, 1999
  • 7. González, C., Penado, S., Llata, L., Valero, C. & Riancho, J. A. The clinical spectrum of retroperitoneal hematoma in anticoagulated patients. Med. 82, 257–262 (2003).
  • 8. Chan-Tack KM. Fatal spontaneous retroperitoneal hematoma secondary to enoxaparin. South Med J 2003;96:58- 60.
  • 9. Malik A, Capling R, Bastani B. Enoxaparin-associated retroperitoneal bleeding in two patients with renal insufficiency. Pharmacotherapy 2005;25:769-72
  • 10. Martin E, Mohan PS, Fares LG, et al. A retroperitoneal bleed induced by enoxaparin therapy. The American surgeon. 2005;71:430-3.

Retroperitoneal Hematomun Neden Olduğu Nadir Bir Anemi Olgusu

Year 2021, Volume 10, Issue 2, 276 - 279, 31.08.2021
https://doi.org/10.47493/abantmedj.834206

Abstract

Giriş: Enoksaparin tedavisi ile retroperitoneal kanama bildirilmiştir. Bu yazıda derin ven trombozuna bağlı enoksaparin kullanan bir hastada gelişen spontan retroperitoneal kanama tartışılmıştır. Vaka: Yetmiş altı yaşında erkek hasta halsizlik şikayeti ile acil servise başvurdu. Özgeçmişinde, hastamız yakın geçmişte derin ven trombozu için enoksaparin kullanmıştı. Fizik muayene, üst ekstremitede bilateral enoksaparin uygulanan bölgede subkutan minimal hematom dışında doğaldı. Laboratuvar testlerinde hemoglobin: 4.6 g/dl, üre: 158 mg/dl ve kreatinin 1.86 mg/dl olarak belirlendi. Abdominopelvik BT’de: sağ psoas kası komşuluğunda 4 cm derinliğe ulaşan retroperitoneal hemoraji tespit edildi. Takiplerinde TDP ve Eritrosit süspansiyonu replasmanı sonrası ek komplikasyon gelişmeyen, cerrahi tedavi ihtiyacı olmayan hasta, yatışının 17. gününde iyilik hali ile taburcu edildi. Sonuç: Enoksoparin tedavisi gören hastalar halsizlik şikayeti ile başvurduğunda anemi varlığında majör kanamalar görülebilir. Bu hastalarda kanama odağı açısından retroperitoneal kanama konusunda dikkatli olunmalıdır.

References

  • 1. Yusuf H, Tsai J, Sıddıki A,et al. Emergency department visits by patients with venous thromboembolism, 1998-2009. J Hosp Adm 2012; 1: 1–8.
  • 2. Othieno R, Okpo E, Forster R. Home versus in-patient treatment for deep vein thrombosis. Cochrane Database of Systematic Reviews 2018, Issue 1. Art. No.: CD003076.
  • 3. Buller HR. Treatment of symptomatic venous thromboembolism: improving outcomes. Semin Thromb Hemost 2002;28:S41–8.
  • 4. Ernits M. Mohan P.S. Fares II, L.G. Hardy III, H. A retroperitoneal bleed induced by enoxaparin therapy. Am Surg. 2005; 71: 430-433
  • 5. Sunga KL, Bellolio MF, Gilmore RM, Cabrera D (2012) Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med 43:e157–e161
  • 6. Morgan RJ, Bristol JB. Unusual findings in a patient taking warfarin. Postgrad Med J 75: 299–300, 1999
  • 7. González, C., Penado, S., Llata, L., Valero, C. & Riancho, J. A. The clinical spectrum of retroperitoneal hematoma in anticoagulated patients. Med. 82, 257–262 (2003).
  • 8. Chan-Tack KM. Fatal spontaneous retroperitoneal hematoma secondary to enoxaparin. South Med J 2003;96:58- 60.
  • 9. Malik A, Capling R, Bastani B. Enoxaparin-associated retroperitoneal bleeding in two patients with renal insufficiency. Pharmacotherapy 2005;25:769-72
  • 10. Martin E, Mohan PS, Fares LG, et al. A retroperitoneal bleed induced by enoxaparin therapy. The American surgeon. 2005;71:430-3.

Details

Primary Language English
Subjects Medicine
Journal Section Case Report
Authors

Ahmet UZUN>
KARABUK UNIVERSITY
0000-0001-7988-1725
Türkiye


Bora ÇEKMEN> (Primary Author)
KARABÜK ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-3348-8375
Türkiye


Arzu BOZTAŞ>
KARABUK UNIVERSITY
0000-0002-4702-8559
Türkiye

Publication Date August 31, 2021
Application Date December 1, 2020
Acceptance Date August 25, 2021
Published in Issue Year 2021, Volume 10, Issue 2

Cite

Bibtex @case report { abantmedj834206, journal = {Abant Tıp Dergisi}, issn = {1305-4392}, eissn = {2147-1800}, address = {Abant Tıp Dergisi Editörlüğü Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, 14280 / BOLU}, publisher = {Bolu Abant Izzet Baysal University}, year = {2021}, volume = {10}, number = {2}, pages = {276 - 279}, doi = {10.47493/abantmedj.834206}, title = {A Rare Case of Anemia Caused by Retroperitoneal Hematoma}, key = {cite}, author = {Uzun, Ahmet and Çekmen, Bora and Boztaş, Arzu} }
APA Uzun, A. , Çekmen, B. & Boztaş, A. (2021). A Rare Case of Anemia Caused by Retroperitoneal Hematoma . Abant Tıp Dergisi , 10 (2) , 276-279 . DOI: 10.47493/abantmedj.834206
MLA Uzun, A. , Çekmen, B. , Boztaş, A. "A Rare Case of Anemia Caused by Retroperitoneal Hematoma" . Abant Tıp Dergisi 10 (2021 ): 276-279 <https://dergipark.org.tr/en/pub/abantmedj/issue/64672/834206>
Chicago Uzun, A. , Çekmen, B. , Boztaş, A. "A Rare Case of Anemia Caused by Retroperitoneal Hematoma". Abant Tıp Dergisi 10 (2021 ): 276-279
RIS TY - JOUR T1 - A Rare Case of Anemia Caused by Retroperitoneal Hematoma AU - AhmetUzun, BoraÇekmen, ArzuBoztaş Y1 - 2021 PY - 2021 N1 - doi: 10.47493/abantmedj.834206 DO - 10.47493/abantmedj.834206 T2 - Abant Tıp Dergisi JF - Journal JO - JOR SP - 276 EP - 279 VL - 10 IS - 2 SN - 1305-4392-2147-1800 M3 - doi: 10.47493/abantmedj.834206 UR - https://doi.org/10.47493/abantmedj.834206 Y2 - 2021 ER -
EndNote %0 Abant Medical Journal A Rare Case of Anemia Caused by Retroperitoneal Hematoma %A Ahmet Uzun , Bora Çekmen , Arzu Boztaş %T A Rare Case of Anemia Caused by Retroperitoneal Hematoma %D 2021 %J Abant Tıp Dergisi %P 1305-4392-2147-1800 %V 10 %N 2 %R doi: 10.47493/abantmedj.834206 %U 10.47493/abantmedj.834206
ISNAD Uzun, Ahmet , Çekmen, Bora , Boztaş, Arzu . "A Rare Case of Anemia Caused by Retroperitoneal Hematoma". Abant Tıp Dergisi 10 / 2 (August 2021): 276-279 . https://doi.org/10.47493/abantmedj.834206
AMA Uzun A. , Çekmen B. , Boztaş A. A Rare Case of Anemia Caused by Retroperitoneal Hematoma. Abant Med J. 2021; 10(2): 276-279.
Vancouver Uzun A. , Çekmen B. , Boztaş A. A Rare Case of Anemia Caused by Retroperitoneal Hematoma. Abant Tıp Dergisi. 2021; 10(2): 276-279.
IEEE A. Uzun , B. Çekmen and A. Boztaş , "A Rare Case of Anemia Caused by Retroperitoneal Hematoma", Abant Tıp Dergisi, vol. 10, no. 2, pp. 276-279, Aug. 2021, doi:10.47493/abantmedj.834206