Heparin-related thrombocytopenia and adrenal hemorrhagic necrosis following aortic surgery.
Adrenal hemorrhagic necrosis is one of several possible complications of heparin-related thrombocytopenia. We report a case in which adrenal hemorrhagic necrosis developed after aortofemoral bypass. This serious complication remains difficult to diagnose in the absence of a high index of suspicion. A routine search for this condition in the setting of heparin-related thrombocytopenia is essential since a favorable outcome is dependent on early diagnosis.
Leschi
J P
JP
Service de Chirurgie Viscérale et Vasculaire, Hôpital Ambroise Paré, Boulogne, France.
Goëau-Brissonnière
O
O
Coggia
M
M
Chiche
L
L
D000311:Adrenal Glands / Q000187:drug effects* / Q000473:pathology; D001011:Aorta / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery; D006470:Hemorrhage / Q000139:chemically induced* / Q000473:pathology; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007275:Injections, Intravenous; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011184:Postoperative Period; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000175:diagnosis
D006493:Heparin