Spontaneous hemothorax due to ruptured pulmonary infarction after anticoagulation with enoxaparin: a case reportH. Ahmet BİRCAN1, Ünal ŞAHİN1, Ahmet AKKAYA1Süleyman Demirel Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta
Pulmonary thromboembolism remains a leading cause of morbidity and mortality. Embolic obstruction of pulmonary vasculature may result in pulmonary hemorrhage but usually does not cause pulmonary infarction. Pulmonary infarction may occur only 10% of emboli but the rupture of pulmonary infarction is a very rare condition in the chest disease clinics. In the literature only a few case reports have been published. We report here spontaneous hemothorax that thought to be occurred due to ruptured pulmonary infarction in a case of pulmonary thromboembolism anticoagulated with enoxaparin (1mg/kg, bid, sc). The patient was successfully managed with discontinuation of anticoagulation, blood and plasma transfusions, chest tube drainage for evacuation of blood from the pleural space. Keywords: anticoagulant, enaxaparin, hemothorax, pulmonary thromboembolism, spontaneous
Enoksaparin ile antikoagülasyon sonrası rüptüre pulmoner enfarkta bağlı spontan hemotoraks: olgu sunumuH. Ahmet BİRCAN1, Ünal ŞAHİN1, Ahmet AKKAYA1Süleyman Demirel Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta
Pulmonary thromboembolism remains a leading cause of morbidity and mortality. Embolic obstruction of pulmonary vasculature may result in pulmonary hemorrhage but usually does not cause pulmonary infarction. Pulmonary infarction may occur only 10 % of pulmonary emboli but, the rupture of pulmonary infarction is a very rare condition in the chest diseases clinics. In the literature only a few case reports have been published. We report here spontaneous hemothorax that thought to be occurred due to ruptured pulmonary infarction in a case of pulmonary thromboembolism anticoagulated with enoxaparin (1mg/kg, bid, SC). The patient was successfully managed with discontinuation of anticoagulation, blood and plasma transfusions, chest tube drainage for evacuation of blood from the pleural space. Anahtar Kelimeler: anticoagulant, enoxaparin, pulmonary thromboembolism, ruptured infarction, spontaneous hemothorax
H. Ahmet BİRCAN, Ünal ŞAHİN, Ahmet AKKAYA. Spontaneous hemothorax due to ruptured pulmonary infarction after anticoagulation with enoxaparin: a case report. Eurasian J Pulmonol. 2006; 8(1): 33-36 |
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