Case of a Soleus Muscle Hematoma with Compartment Syndrome Complicated by Enoxaparin and Aspirin Therapy
Journal of the Korean Society of Emergency Medicine
;
: 486-489, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-120216
ABSTRACT
Enoxaparin is a low-molecular-weight heparin that has been widely used in acute coronary syndrome patients. The tolerability profile of enoxaparin is at least similar to that of unfractionated heparin, but the incidences of local hematomas and increased liver enzymes are lower. We experienced one case of enoxaparin-associated soleus muscle hematoma with compartment syndrome. An 83 year-old woman received enoxaparin (1 mg/kg q 12 hours) and oral aspirin (100 mg qd) therapy due to a non-ST elevation myocardial infarction. On the 3rd hospital day, she complained of pain and a tingling sensation in her left calf muscle. A left lower leg CT scan showed a 5.1 x 2.3 x 1.5 cm hematoma compressing the left soleus muscle. An Emergency operation was done to extract the large hematoma. Whenever acute symptoms, including leg pain, tingling sensation, and anemia occur during anticoagulation therapy, the possibility of enoxaparin-associated hematoma should be considered.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Sensación
/
Heparina
/
Tomografía Computarizada por Rayos X
/
Aspirina
/
Incidencia
/
Enoxaparina
/
Heparina de Bajo-Peso-Molecular
/
Síndromes Compartimentales
/
Músculo Esquelético
/
Urgencias Médicas
Tipo de estudio:
Estudio de incidencia
/
Estudio pronóstico
Límite:
Anciano
/
Aged80
/
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2005
Tipo del documento:
Artículo
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