Acute dyspnea in a woman with swelling of the left leg treated with low molecular weight heparine.
A case of rectus sheath hematoma diagnosed initially as probable pulmonary embolism in a patient on anticoagulation with low molecular weight heparins for swelling of the left leg is presented. Prompt consideration of this hematoma in the emergency department is important to avoid unnecessary and potentially dangerous treatment.
Luyx
C
C
Emergency Department, Université Catholique de Louvain, Mont-Godinne, 5530 Yvoir, Belgium.
Vanpee
D
D
Douala
C
C
Gillet
J B
JB
D000009:Abdominal Muscles; D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D001803:Blood Transfusion; D017985:Dalteparin / Q000008:administration & dosage / Q000009:adverse effects; D004417:Dyspnea / Q000209:etiology*; D004630:Emergencies; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000009:adverse effects*; D005500:Follow-Up Studies; D006406:Hematoma / Q000139:chemically induced / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007279:Injections, Subcutaneous; D011860:Radiography, Abdominal; D013924:Thrombophlebitis / Q000188:drug therapy*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000925:Anticoagulants; D005343:Fibrinolytic Agents; D006495:Heparin, Low-Molecular-Weight; D017985:Dalteparin