Spontaneous Retroperitoneal Hemorrhage and Hemothorax After Intravenous Heparin Treatment

Abstract

Spontaneous retroperitoneal hemorrhage is a rare complication after percutaneous coronary intervention (PCI). The patient can be in danger if bleeding is not stopped immediately. However, it is not easy to control the bleeding completely because the bleeding foci can be multiple and there is a rich network of collateral circulation. We report a case of spontaneous retroperitoneal hemorrhage successfully treated using multiple microcoils. One year later, panhypopituitarism occurred as a likely consequence of the accompanying hypovolemic shock.

Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

“…Unfortunately, LMWH therapy is not without risk. Abdominal wall, thigh, spinal and epidermal hematomas (Wysowski et al, 1998;Antonelli et al, 2000;Kumar and Solti, 2001;Topgül et al, 2005;Kim et al, 2009), and retroperitoneal bleeding (Melde, 2003) have all been reported following treatment with LMWH. Nadroparin calcium, a specific LMWH, is widely used in ischemic diseases for the prevention and treatment of venous thromboembolism.…”

Subarachnoid Hemorrhage Mimicking Leakage of Contrast Media After Coronary Angiography

“…When using CM, the pathophysiology of bleeding is not clear in patients. CM has been shown to act as anticoagulant through prolongation of the in vitro bleeding time; 2) 16) however, non-ionic CM has a smaller effect on bleeding tendencies than ionic CM. 16) The administered CM dosage and concentration did not exceed those recommended for CAG (as indicated by the manufacturer) and the patient had no renal function impairment.…”

“…Bleeding is a common complication of antithrombotic treatments of acute coronary syndrome (ACS), and invasive procedures are one of the important risk factors of bleeding. 1) 2) Contrast media (CM) and heparin are used during coronary angiography (CAG) and play a role as anticoagulants. 3) The reported overall bleeding rate in patients with ACS undergoing percutaneous coronary intervention (PCI) is 18.1%, and that of major bleeding after CAG is 2.7%.…”