Bilateral adrenal hemorrhage in a total knee patient associated with enoxaparin usage.
Bilateral adrenal hemorrhage is a rare but potentially catastrophic complication of chemoprophylaxis. We report a patient who underwent a total knee arthroplasty and subsequently developed bilateral adrenal hemorrhage from enoxaparin. Once the patient was diagnosed with acute adrenal insufficiency, corticosteroids were promptly started, and the patient made a dramatic recovery and did not suffer further complications.
Department of Orthopaedics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Kwan Jun
KJ
Park
HipKnee Arkansas Foundation, Little Rock, AR, USA.
Marty
M
Bushmiaer
Department of Orthopaedics, University of Arkansas for Medical Sciences, Little Rock, AR, USA; HipKnee Arkansas Foundation, Little Rock, AR, USA.
C Lowry
CL
Barnes
Anticoagulation; Bilateral adrenal hemorrhage; Enoxaparin; Total joint replacement