A Fatal Case of a Large Abdominal Wall Muscle Hematoma Secondary to Low-Molecular-Weight Heparin Injections
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±è¹Ì¿¬(Kim Mi-Yeon) - Ewha Womans University School of Medicine Department of Internal Medicine
°ÇöÁÖ(Kang Hyeon-Ju) - Ewha Womans University School of Medicine Department of Internal Medicine
·ù¹Î¼±(Ryu Min-Sun) - Ewha Womans University School of Medicine Department of Internal Medicine
±è¼¿ì(Kim Seo-Woo) - Ewha Womans University School of Medicine Department of Internal Medicine
·ù¿¬ÁÖ(Ryu Yon-Ju) - Ewha Womans University School of Medicine Department of Internal Medicine
À̼®Á¤(Lee Seok-Jeong) - Ewha Womans University School of Medicine Department of Internal Medicine
ÀÌÁøÈ(Lee Jin-Hwa) - Ewha Womans University School of Medicine Department of Internal Medicine
ÀåÁßÇö(Chang Jung-Hyun) - Ewha Womans University School of Medicine Department of Internal Medicine
ȲÁö¿µ(Hwang Ji-Young) - Ewha Womans University School of Medicine Department of Radiology
Abstract
The use of low-molecular-weight heparin (LMWH) can lead to major life threatening complications, including hematomas. Abdominal wall muscle hematomas are rarely fatal, and encompass a wide spectrum of severity depending on size, etiology, and associatedcomplications; but because of their rarity may be misdiagnosed clinically. We report a fatal case of an 80-year-old female who receivedLMWH after an episode of pulmonary thromboembolism and was subsequently diagnosed with a large right abdominal wallhematoma complicated with hypovolemic shock and acute kidney injury.
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hematoma, hypovolemic shock, low-molecular-weight heparin
KMID :
0604020140290020126
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