Spontaneous Triceps Hematoma and Radial Nerve Impairment due to Warfarin Use

Abstract

Intramuscular hemorrhages and hematomas are a complication of anticoagulation in patients using warfarin as an anticoagulant. Hematomas may be due to trauma or may develop spontaneously. Neuropathies due to direct compression of hematomas or hemorrhage around the nerve may rarely occur. We aimed to present a case of spontaneous hematoma in the triceps muscle and associated radial nerve deficit in a patient taking warfarin for valvular disease. The hematoma was evacuated after prothrombin complex concentrate and vitamin K. The patient’s nerve deficit improved in the follow-up. Early evacuation of the haematoma may be important for favorable outcomes.

Keywords

• warfarin;
• triceps hematoma
• radial nerve deficit

Warfarine Kullanımına Bağlı Spontan Triseps Hematomu ve Radial Sinir Arazı

Abstract

Antikoagülan olarak warfarin kullanan hastalarda kas içi kanamalar ve hematomlar antikoagülasyonun bir komplikasyonu olarak karşımıza çıkmaktadır. Hematomlar travmaya bağlı olabileceği gibi spontan da gelişebilir. Hematomların direk basısı nedeniyle veya sinir çevresine olan kanamalara bağlı olarak nöropatiler nadiren karşımıza çıkabilmektedir. Kapak hastalığı nedeniyle warfarin kullanan hastada spontan triseps kası içerisinde hematom ve buna bağlı gelişen radial sinir arazı gelişen olgumuzu sunmayı amaçladık. Protrombin kompleks ektresi ve K vitamini sonrası hemotom boşaltılmış ve takibinde hastanın sinir kusuru düzelmiştir. Hematomun erken boşaltılması yüz güldürücü sonuçlar açısından önemli olabilir.

Keywords

• warfarin;
• triseps hematomu;
• radial sinir arazı;

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