title: Rectus sheath haematoma: enoxaparin-related complication.
abstract: Rectus sheath haematoma, an uncommon complication related to subcutaneous administration of enoxaparin, has overall mortality of 4%. Possible mechanisms include unintended intramuscular injection of enoxaparin, and enhanced anticoagulant effect in the elderly and patients with increased bleeding risk. We describe the case of an 80 year-old female patient who was treated after a non-ST-elevated myocardial infarction, with enoxaparin, aspirin and clopidogrel. After a single dose of enoxaparin, the patient developed massive rectus sheath haematoma that was promptly diagnosed and was surgically managed. The patient recovered uneventfully. With incremented use of low-molecular weight heparins in the elderly, one may expect a growing number of bleeding complications.
authors: University of Novi Sad, Medical Faculty, Novi Sad, Serbia. lvelicki@gmail.com
authors: L
authors: L
authors: Velicki
authors: N
authors: N
authors: Cemerlić-Adić
authors: D
authors: D
authors: Bogdanović
authors: T
authors: T
authors: Mrdanin
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects*; D003937:Diagnosis, Differential; D017984:Enoxaparin / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy; D012007:Rectum
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin