title: Successful intracavitary tissue plasminogen activator treatment of gastrocnemius intramuscular hematoma in a patient following anticoagulant therapy with warfarin: case report.
abstract: Warfarin is an anticoagulant used in a variety of clinical indications and may rarely cause severe bleeding that can be life-threatening. Although intramuscular bleeding frequently occurs, secondary to trauma, it can be induced in cases with bleeding tendency. Hematoma is often treated with conventional methods. However, surgical decompression can also be applied. In this article, we report a case of gastrocnemius intramuscular hematoma, which was successfully treated with intracavitary tissue plasminogen activator that was recently used in the treatment of abdominal and pelvic abscess.
authors.affiliation: aDepartment of Internal Medicine bDepartment of Radiology, Okmeydani Training and Research Hospital, Istanbul, Turkey.
authors.forename: Muge
authors.initials: M
authors.lastname: Bilge
authors.forename: Zafer Unsal
authors.initials: ZU
authors.lastname: Coskun
authors.forename: Cengiz
authors.initials: C
authors.lastname: Cakan
authors.forename: Mine
authors.initials: M
authors.lastname: Adas
authors.forename: Aysen
authors.initials: A
authors.lastname: Helvaci
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D006406:Hematoma / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009132:Muscles; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D014859:Warfarin / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D010959:Tissue Plasminogen Activator