Abstract
References
- Patel MR, Mahaffey KW, Garg J, Pan G, Singer DE, Hacke W, et al. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med 2011;365:883-891.
- Yang E. A clinician’s perspective: novel oral anticoagulants to reduce the risk of stroke in nonvalvular atrial fibrillation – full speed ahead or proceed with caution. Vasc Health Risk Manag 2014;21:507-522.
- Fontaine GV, Mathews KD, Woller SC, Stevens SM, Lloyd JF, Evans RS. Major bleeding with dabigatran and rivaroxaban in patients with atrial fibrillation: a real-world setting. Clin Appl Thromb Hemost 2014;20:665-672.
- Sullivan LEJ, Wortham DC, Litton KM. Rectus sheath hematoma with low molecular weight heparin administration: a case series. BMC Res Notes 2014;7:586.
- Kocayigit I, Can Y, Sahinkus S, Aydin E, Vatan MB, Kilic H, et al. Spontaneous rectus sheath hematoma during rivaroxaban therapy. Indian J Pharmacol 2014;46:339-340.
- Galyfos G, Karantzikos G, Palogos K, Sianou A, Filis K, Nikolaos K, Spontaneous rectus sheath hematoma in the elderly: an unusual case and update on proper management. Case Rep Emerg Med 2014;2014:675678.
Percutaneous drainage in treatment for spontaneous rectus abdominis hematoma due to rivaroxaban usage
Abstract
Rivaroxaban is currently used to prevent stroke in patients with atrial fibrillation. Like all anticoagulants, rivaroxaban carries a risk of bleeding. There is a single reported case of rectus abdominis hematoma due to rivaroxaban use in the literature. We present an 82-year-old female patient presented to our outpatient clinic with sudden pain and swelling in the abdominal region. The patient had been treated with rivaroxaban for three months without warfarin. Computed tomography scanning showed a 25x10x15 cm long acute hematoma in the left rectus abdominis. Rivaroxaban was replaced with enoxaparin for thromboembolus prophylaxis. We performed percutaneous drainage in order to reduce pain and recovery time by decreasing the hematoma size. Catheter drainage was used in the third day to minimize rivaroxaban activity. We did not come across any literature date on percutaneous drainage treatment of spontaneous rectus abdominis hematoma. We report a case of hematoma of the rectus abdominis muscle that occurred following rivaroxaban use and was successfully treated with percutaneous drainage
References
- Patel MR, Mahaffey KW, Garg J, Pan G, Singer DE, Hacke W, et al. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med 2011;365:883-891.
- Yang E. A clinician’s perspective: novel oral anticoagulants to reduce the risk of stroke in nonvalvular atrial fibrillation – full speed ahead or proceed with caution. Vasc Health Risk Manag 2014;21:507-522.
- Fontaine GV, Mathews KD, Woller SC, Stevens SM, Lloyd JF, Evans RS. Major bleeding with dabigatran and rivaroxaban in patients with atrial fibrillation: a real-world setting. Clin Appl Thromb Hemost 2014;20:665-672.
- Sullivan LEJ, Wortham DC, Litton KM. Rectus sheath hematoma with low molecular weight heparin administration: a case series. BMC Res Notes 2014;7:586.
- Kocayigit I, Can Y, Sahinkus S, Aydin E, Vatan MB, Kilic H, et al. Spontaneous rectus sheath hematoma during rivaroxaban therapy. Indian J Pharmacol 2014;46:339-340.
- Galyfos G, Karantzikos G, Palogos K, Sianou A, Filis K, Nikolaos K, Spontaneous rectus sheath hematoma in the elderly: an unusual case and update on proper management. Case Rep Emerg Med 2014;2014:675678.
Details
| Primary Language | English |
|---|---|
| Subjects | Radiology and Organ Imaging, Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | July 4, 2016 |
| Submission Date | November 24, 2015 |
| Acceptance Date | March 22, 2016 |
| Published in Issue | Year 2016 Volume: 2 Issue: 2 |
