Korean J Crit Care Med.  2014 May;29(2):126-130. 10.4266/kjccm.2014.29.2.126.

A Fatal Case of a Large Abdominal Wall Muscle Hematoma Secondary to Low-Molecular-Weight Heparin Injections

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Medical Center and Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea. medyon@ewha.ac.kr
  • 2Department of Radiology, Ewha Medical Center and Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.

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 associated complications; but because of their rarity may be misdiagnosed clinically. We report a fatal case of an 80-year-old female who received LMWH after an episode of pulmonary thromboembolism and was subsequently diagnosed with a large right abdominal wall hematoma complicated with hypovolemic shock and acute kidney injury.

Keyword

hematoma; hypovolemic shock; low-molecular-weight heparin

MeSH Terms

Abdominal Wall*
Acute Kidney Injury
Aged, 80 and over
Female
Hematoma*
Heparin, Low-Molecular-Weight*
Humans
Pulmonary Embolism
Shock
Heparin, Low-Molecular-Weight
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