title: Spontaneous chest wall hematoma with dual antiplatelet therapy.
abstract: Spontaneous chest wall hematoma is rare and has been associated with neoplasms and arteriovenous malformations. However, the increasing use of anticoagulant and antiplatelet agents has increased the clinical presentation of spontaneous hematomas. Clopidrogel and aspirin are antiplatelet agents widely used in the treatment of peripheral vascular, cerebrovascular, and coronary artery disease. Although bleeding is a known adverse effect, only a small number of cases of hematomas associated with antiplatelet agents have been described. We report a case of a large spontaneous latissimus dorsi hematoma in a patient receiving clopidogrel and aspirin therapy.
authors.affiliation: Department of Cardiothoracic Surgery, Dunedin Hospital, Dunedin, New Zealand.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Bevan
authors.affiliation: Department of Cardiothoracic Surgery, Dunedin Hospital, Dunedin, New Zealand. Electronic address: ashvini.menon@gmail.com.
authors.forename: Ashvini
authors.initials: A
authors.lastname: Menon
authors.affiliation: Department of Cardiothoracic Surgery, Dunedin Hospital, Dunedin, New Zealand.
authors.forename: Richard
authors.initials: R
authors.lastname: Bunton
mesh_terms: D000368:Aged; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects*; D000077144:Clopidogrel; D003324:Coronary Artery Disease / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage / Q000009:adverse effects*; D035441:Thoracic Wall; D013988:Ticlopidine / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D014057:Tomography, X-Ray Computed
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin