title: Enoxaparin-induced unilateral hemotympanum.
abstract: Hemotympanum is defined as the presence of blood in the middle ear cavity. It is commonly associated with skull fractures. Spontaneous hemotympanum secondary to anticoagulant therapy is extremely rare. Herein, we report the first case of a 51-year-old woman with right spontaneous hemotympanum related to the use of enoxaparin. Complete resolution of signs and symptoms was accomplished by conservative management. Close follow-up is important to assure resolution and reduce long-term sequelae. The use of anticoagulants should be considered in the differential diagnosis of hemotympanum. This is also a good case for clinicians to be mindful about hemorrhagic complications of anticoagulant treatment.
authors: Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
authors: Umit
authors: U
authors: Aydin
authors: M Burak
authors: MB
authors: Asik
authors: M Cemal
authors: MC
authors: Gokgoz
authors: Omer
authors: O
authors: Karakoc
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use*; D004427:Ear Diseases / Q000139:chemically induced* / Q000209:etiology; D017984:Enoxaparin / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced* / Q000209:etiology; D006801:Humans; D008875:Middle Aged
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin