Surgical management of severe spontaneous hemorrhage of the abdominal wall complicating acenocoumarol treatment.
Acenocoumarol is a vitamin K antagonist that is used for the treatment of acquired and congenital, both arterial and venous, thrombotic diseases. Its use is complicated by the narrow therapeutic range. Bleeding following oral anticoagulation, despite rare, remains the major complication. Most cases of hemorrhagic episodes usually require short hospitalization and transfusion, while surgical drainage of the hematoma is not recommended. However, in cases that conservative treatment isn't successful, surgical intervention remains an option. We present a case of severe spontaneous bleeding of the rectus abdominis muscle which was successfully managed surgically.
First Surgical Department, General Regional Hospital George Papanikolaou, Thessaloniki, Greece. telonakos@hotmail.com
Orestis
O
Ioannidis
George
G
Paraskevas
Anastasios
A
Kotronis
Stavros
S
Chatzopoulos
Athina
A
Konstantara
Nikolaos
N
Papadimitriou
Apostolos
A
Makrantonakis
Emmanouil
E
Kakoutis
D034861:Abdominal Wall / Q000098:blood supply*; D000074:Acenocoumarol / Q000009:adverse effects* / Q000627:therapeutic use; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans
D000925:Anticoagulants; D000074:Acenocoumarol