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Case Report
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| Massive spontaneous retroperitoneal hemorrhage induced by enoxaparin and subsequent abdominal compartment syndrome requiring surgical decompression: A case report and literature review |
| Benjamin Quartey1, Jeffrey Nelson2 |
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1General Surgery, Department of Surgery, National Capital Consortium, National Naval Medical Center, Bethesda, Maryland, USA.
2General/Colorectal Surgery, Department of Surgery/Colorectal Surgery, National Capital Consortium, Walter Reed Army Medical Center, Washington, DC, USA. |
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10.5348/ijcri-2011-10-60-CR-4
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Address correspondence to: Benjamin Quartey 8901 Wisconsin Ave Bethesda MD 20889 USA Phone: 301-295-4442 Fax: 301-295-0959 Email: Benjamin.Quartey@med.navy.mil |
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| How to cite this article: |
| Quartey B, Nelson J. Massive spontaneous retroperitoneal hemorrhage induced by enoxaparin and subsequent abdominal compartment syndrome requiring surgical decompression: A case report and literature review. International Journal of Case Reports and Images 2011;2(10):14-18. |
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Abstract
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Introduction:
Spontaneous retroperitoneal hemorrhage from the use of enoxaparin is very rare but can be fatal. Although most cases are treated by conservative means, there may be a role for surgical intervention.
Case Report: We present the case of a 77-year-old man who developed a large retroperitoneal hemorrhage during treatment for pulmonary embolism and atrial flutter with enoxaparin who failed supportive measures and necessitated surgical correction. Conclusion: This case adds to the growing number of cases of enoxaparin induced spontaneous retroperitoneal hemorrhage and the importance of surgical intervention when conservative management fails. | |
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Key Words:
Retroperitoneal hemorrhage, Enoxaparin treatment, Compartment syndrome, Surgical evacuation
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Author Contributions:
Benjamin Quartey - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Jeffrey Nelson - Substantial contributions to conception and design and analysis of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Benjamin Quartey et al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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