Spontaneous hemothorax due to ruptured pulmonary infarction after anticoagulation with enoxaparin: a case reportH Ahmet BİRCAN1, Ünal ŞAHİN1, Ahmet AKKAYA1
Süleyman 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. Keywords: anticoagulant, enoxaparin, spontaneous hemothorax, pulmonary thromboembolism, ruptured infarction
Enoksaparin ile antikoagülasyon sonrası rüptüre pulmoner enfarkta bağlı spontan hemootoraks: Olgu sunumuH Ahmet BİRCAN1, Ünal ŞAHİN1, Ahmet AKKAYA1
Süleyman Demirel Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Isparta
Pulmonary thromboemboli 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 during only in 10% of pulmonary 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 spontaneous hemothorax in a patient with pulmonary thromboembolism anticoagulated with enoxiparin (1 mg/kg, bid, SC) which was thought to develop due to ruptured pulmonary infarction. The patient was successfully managed with discontinuation of anticoagulation, blood and plasma transfusions, chest tube drainage for evacuation of blood from the pleural space.
H Ahmet BİRCAN, Ünal ŞAHİN, Ahmet AKKAYA. Spontaneous hemothorax due to ruptured pulmonary infarction after anticoagulation with enoxaparin: a case report. Eurasian J Pulmonol. 2005; 7(4): 155-158 |
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