Spontaneous hemoperitoneum from brodifacoum overdose.
Brodifacoum is a 4-hydroxycoumarin derivative that is commonly used as a rodenticide. Human exposures have produced severe coagulopathies resulting in hematuria, gastrointestinal bleeding, intracranial hemorrhage, and death. This is the first report of spontaneous hemoperitoneum secondary to brodifacoum ingestion. The patient was successfully managed with fresh frozen plasma, packed red blood cells, and vitamin K1. No surgical intervention was performed. The patient required ongoing daily vitamin K1 therapy for longer than 6 months.
Department of Emergency Medicine, Carolinas Poison Center, Carolinas Medical Center, Charlotte, NC, USA.
B W
BW
Morgan
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C
Tomaszewski
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Rotker
D015110:4-Hydroxycoumarins / Q000506:poisoning*; D000328:Adult; D016913:Blood Component Transfusion; D062787:Drug Overdose; D017707:Erythrocyte Transfusion; D005260:Female; D006465:Hemoperitoneum / Q000139:chemically induced*; D006801:Humans; D010949:Plasma; D011041:Poisoning / Q000628:therapy; D012378:Rodenticides / Q000506:poisoning*; D014812:Vitamin K / Q000627:therapeutic use
D015110:4-Hydroxycoumarins; D012378:Rodenticides; D014812:Vitamin K; C013418:bromfenacoum