Massive Spontaneous Retroperitoneal Hemorrhage Induced by Enoxaparin and Subsequent Abdominal Compartment Syndrome Requiring Surgical Decompression: A Case Report and Literature Review

Abstract

Spontaneous retroperitoneal hemorrhage from the use of enoxaparin is very rare but can be fatal. Although most cases are treated by conservative means, there may be a role for surgical intervention. We present the case of a 77-year-old man who developed a large retroperitoneal hemorrhage during treatment for pulmonary embolism and atrial flutter with enoxaparin in which supportive measures failed and necessitated surgical correction. This case adds to the growing number of cases of enoxaparin induced spontaneous retroperitoneal hemorrhage and the importance of surgical intervention when conservative management fails.

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Document Details

Document Type
Technical Report
Publication Date
Aug 01, 2011
Accession Number
ADA553021

Entities

People

  • Benjamin Quartey
  • Jeffrey Nelson

Organizations

  • Walter Reed National Military Medical Center

Tags

DTIC Thesaurus Topics

  • Abdomen
  • Blood
  • Cardiac Arrhythmias
  • Cardiovascular Physiological Phenomena
  • Cardiovascular System
  • Decompression
  • Embolism And Thrombosis
  • Evacuation
  • Health Services
  • Heart Rate
  • Hemorrhage
  • Literature Surveys
  • Myocardial Ischemia
  • Pain
  • Therapy
  • Vascular Diseases
  • X-Ray Computed Tomography

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Trauma Surgery or Emergency Medicine.