Life-threatening hematoma associated with paracentesis: a case report.
Deep venous thrombosis prophylaxis is recommended in all high-risk hospitalized medical patients. We describe a unique complication of paracentesis in a patient receiving unfractionated heparin for deep venous thrombosis prophylaxis. Our patient developed a very large rectus sheath hematoma and hypotension gradually after paracentesis. Heparin should be used with caution for deep venous thrombosis prophylaxis in patients undergoing paracentesis.
Mulpuru
Siva K
SK
Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York 11201, USA.
Mori
Naresh A
NA
Levey
Robert L
RL
Leonardo
Robert
R
D000005:Abdomen; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D019074:Epigastric Arteries / Q000293:injuries*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D019152:Paracentesis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000188:drug therapy
D000925:Anticoagulants; D006493:Heparin