Large Rectus Muscle Hematoma with Intraperitoneal Bleeding and Fatal Abdominal Compartment Syndrome Complicating Anticoagulant Therapy

Davutoğlu, Vedat; Kervancıoğlu, Selim; Sezen, Yusuf

doi:10.1177/107602960501100115

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…However, data in Figure 1 panel B are important because a majority of acupoints are located in the extremities and abdominal wall, and these regions are prone to develop hematoma even without any forms of injury during oral anticoagulation. Moreover, these regions are predilection sites for compartment syndrome (1 case of rectus muscle hematoma induced fatal abdominal compartment syndrome, 19 1 case in the forearm, 20 2 cases in the upper arms, 21,22 and 1 case in the thigh 23 ). Therefore, we strongly suggest that when performing acupuncture in these regions in patients receiving anticoagulation, caution should be exercised and additional procedures to minimize hemorrhage are warranted.…”

Section: Discussionmentioning

confidence: 99%

Acupuncture-Induced Intramuscular Hematoma in Patients Taking Anticoagulation Drugs: An Emerging Clinical Entity

Han

Xiao-fang

Jiang

et al. 2010

Medical Acupuncture

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Background: Oral anticoagulation is used extensively for prevention of thromboembolic events. Whether acupuncture is safe for patients taking anticoagulants is not clear. Objective: To describe a patient with a history of ischemic stroke and paroxysmal nonvalvular atrial fibrillation who was in stroke rehabilitation including acupuncture. Design, Setting, and Patient The patient developed sudden calf hematoma when optimal therapeutic intensity of international normalized ratio (INR) was achieved. Results: This patient was treated conservatively, without symptoms of compartment syndrome, and calf hematomas were resolved in 3 months. Conclusions: With increased acceptance of acupuncture worldwide and enforcement of clinical guidelines for prevention of thromboembolism, acupuncture-induced hematoma will be an emerging clinical entity. To minimize hemorrhagic complications, caution should be exercised when patients receiving oral anticoagulation request acupuncture treatment.

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Section: Discussionmentioning

confidence: 99%

Acupuncture-Induced Intramuscular Hematoma in Patients Taking Anticoagulation Drugs: An Emerging Clinical Entity

Han

Xiao-fang

Jiang

et al. 2010

Medical Acupuncture

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“…Among angiogenesis inhibitors, treatment with sorafenib is poorly complicated with thrombotic episodes. Conversely, bleeding has been extensively reported with an incidence of 2-3% of treated patients, ranging from frequent and mild [2] to rare severe haemorrhages, including intracranial [3]. Hepatocellular carcinoma frequently occurred in haemophiliacs as most patients became infected with HBV and HCV from concentrates before virus inactivation was available.…”

Section: Casementioning

confidence: 99%

Rectus muscle sheath haematoma in a patient with congenital FX deficiency and in another with congenital FVII deficiency

et al. 2009

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“…The therapy of choice is surgical decompression as in ileo-psoas haematomas. If undetected there is a significant mortality due to multiple organ failure [48].…”

Section: Tbc and Other Bacterial Infections (Pneumonias) Fungal Infecmentioning

confidence: 99%

Main clinical manifestations of a bleeding diathesis: an often disregarded aspect of medical and surgical history taking

et al. 2005

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A suitable clinical evaluation of a bleeding diathesis is often forgone. The young doctor is often unprepared to describe in an accurate way the different types of bleeding. An adequate classification and adequate clinical information about a bleeding diathesis are instead of paramount importance. Bleeding may be cutaneous, mucous, articular, muscular, parenchymal, intracavitary, orificial. Each of these sites and forms may have diagnostic implications. An accurate description of the several forms of cutaneous bleeding (petechiae, purpuric spots, ecchymosis, haematomas, etc.) is needed for referrals and for controls. The correct evaluation of cutaneous bleeding manifestations of children (battered child syndrome) is absolutely important for clinical and medico-legal purposes. The same is true for the battering syndrome seen in women abused by their spouses. The grading of haemarthrosis in haemophilia patients is important for the follow-up. A proper description of haematuria is essential in suggesting the probable site of bleeding (kidney or bladder or urethra). A proper evaluation of bleeding may give also useful information on the general health status of the patients (presence of anaemia, poor nutrition, renal insufficiency, etc.). The combination of bleeding and thrombosis in the same patient is also a clinical challenge. The relationship between haemorrhage and thrombosis may be sequential or concomitant. Sequential thrombosis may occur in a patient confined in bed for a brain haemorrhage. Concomitant thrombosis and bleeding occur in DIC and in patients with thrombosis being treated with anticoagulants. Finally, it should be kept in mind that a proper evaluation of the bleeding diathesis of a given patient may help the caring doctor in ordering appropriate laboratory tests (e.g. a platelet count for petechiae, a PTT for a patient with haemarthrosis, etc.).

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Large Rectus Muscle Hematoma with Intraperitoneal Bleeding and Fatal Abdominal Compartment Syndrome Complicating Anticoagulant Therapy

Cited by 10 publications

References 5 publications

Acupuncture-Induced Intramuscular Hematoma in Patients Taking Anticoagulation Drugs: An Emerging Clinical Entity

Acupuncture-Induced Intramuscular Hematoma in Patients Taking Anticoagulation Drugs: An Emerging Clinical Entity

Rectus muscle sheath haematoma in a patient with congenital FX deficiency and in another with congenital FVII deficiency

Main clinical manifestations of a bleeding diathesis: an often disregarded aspect of medical and surgical history taking

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