title: Extensive postoperative ecchymosis in a patient taking dabigatran.
abstract: Herein we present the case of a 71-year-old woman who had a severe postoperative ecchymotic reaction. Our patient had a history of atrial fibrillation, for which she was given dabigatran etexilate mesylate as an anticoagulant. She discontinued her anticoagulant therapy 2 days before undergoing total laparoscopic hysterectomy with pelvic and periaortic lymph node sampling for uterine endometrioid adenocarcinoma. Despite an uneventful surgical procedure, she had widespread ecchymosis, edema, and anemia.
authors: Department of Obstetrics and Gynecology, St. Elizabeth Medical Center, Utica, New York 13413, USA. coreywag@yahoo.com
authors: Corey A
authors: CA
authors: Wagner
authors: Navpriya
authors: N
authors: Oberoi
authors: Prabhat K
authors: PK
authors: Ahluwalia
mesh_terms: D000368:Aged; D000991:Antithrombins / Q000009:adverse effects* / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000188:drug therapy; D001562:Benzimidazoles / Q000009:adverse effects* / Q000627:therapeutic use; D018269:Carcinoma, Endometrioid / Q000601:surgery; D000069604:Dabigatran; D004438:Ecchymosis / Q000139:chemically induced*; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D010052:Ovariectomy; D011183:Postoperative Complications; D058994:Salpingectomy; D015091:beta-Alanine / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: D000991:Antithrombins; D001562:Benzimidazoles; D015091:beta-Alanine; D000069604:Dabigatran