title: Life-threatening hematoma associated with paracentesis: a case report.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York 11201, USA.
authors.forename: Siva K
authors.initials: SK
authors.lastname: Mulpuru
authors.forename: Naresh A
authors.initials: NA
authors.lastname: Mori
authors.forename: Robert L
authors.initials: RL
authors.lastname: Levey
authors.forename: Robert
authors.initials: R
authors.lastname: Leonardo
mesh_terms: 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
chemical_list: D000925:Anticoagulants; D006493:Heparin