PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Unclear Abdominal Pain - Not Always a Gastroenterological Emergency.

Abstract History and admission findings An 84-year old patient with persistent atrial fibrillation and chronic renal failure received a subcutaneous injection with low molecular weight heparin (LMWH) during a hospital stay. Over the course of her hospitalization, the patient developed abdominal pain. There was a marked hematoma at the injection site. A large tumor was palpable in the right abdominal quadrant. Examinations Due to the significant reduction in hemoglobin, we performed a CT-angiogram of the abdomen. Diagnosis We were able to visualize an intramuscular hematoma within the rectus abdominis muscle. Therapy and clinical course After visualization with digital subtraction angiography and application of microcoils and histoacryl-glue, we were able to stop bleeding. After implantation of left atrial appendage occluder, oral anticoagulation therapy could be stopped. Conclusion LMWH-treated patients with nonspecific abdominal pain should be meticulously examined to exclude iatrogenic abdominal muscle hematoma.
PMID
Related Publications

Low-dose heparin. A cause of hematoma of rectus abdominis.

Endovascular management of the rectus muscle hematoma.

An Unusual Complication of EVAR, Spontaneous Rectus Sheath Hematoma: A Case Report.

Autopsy case of PR3-ANCA-associated vasculitis complicated with rectus muscle hematoma.

Diagnostic evaluation and management of patients with rectus sheath hematoma. A retrospective study.

Authors

Mayor MeshTerms
Keywords
Journal Title deutsche medizinische wochenschrift (1946)
Publication Year Start




PMID- 28388751
OWN - NLM
STAT- In-Process
DA  - 20170407
LR  - 20170407
IS  - 1439-4413 (Electronic)
IS  - 0012-0472 (Linking)
VI  - 142
IP  - 7
DP  - 2017 Apr
TI  - [Unclear Abdominal Pain - Not Always a Gastroenterological Emergency].
PG  - 530-533
LID - 10.1055/s-0042-122121 [doi]
AB  - History and admission findings An 84-year old patient with persistent atrial
      fibrillation and chronic renal failure received a subcutaneous injection with low
      molecular weight heparin (LMWH) during a hospital stay. Over the course of her
      hospitalization, the patient developed abdominal pain. There was a marked
      hematoma at the injection site. A large tumor was palpable in the right abdominal
      quadrant. Examinations Due to the significant reduction in hemoglobin, we
      performed a CT-angiogram of the abdomen. Diagnosis We were able to visualize an
      intramuscular hematoma within the rectus abdominis muscle. Therapy and clinical
      course After visualization with digital subtraction angiography and application
      of microcoils and histoacryl-glue, we were able to stop bleeding. After
      implantation of left atrial appendage occluder, oral anticoagulation therapy
      could be stopped. Conclusion LMWH-treated patients with nonspecific abdominal
      pain should be meticulously examined to exclude iatrogenic abdominal muscle
      hematoma.
CI  - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Aschoff, Anna Teresa
AU  - Aschoff AT
AD  - Klinik fur Kardiologie und Angiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Pech, Maciej
AU  - Pech M
AD  - Klinik fur Radiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Fischbach, Frank
AU  - Fischbach F
AD  - Klinik fur Radiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Ricke, Jens
AU  - Ricke J
AD  - Klinik fur Radiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Luani, Blerim
AU  - Luani B
AD  - Klinik fur Kardiologie und Angiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Braun-Dullaeus, Rudiger Christian
AU  - Braun-Dullaeus RC
AD  - Klinik fur Kardiologie und Angiologie, Otto-von-Guericke Universitat, Magdeburg.
FAU - Herold, Jorg
AU  - Herold J
AD  - Klinik fur Kardiologie und Angiologie, Otto-von-Guericke Universitat, Magdeburg.
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Der unklare Bauchschmerz - nicht immer ein gastroenterologischer Notfall.
DEP - 20170407
PL  - Germany
TA  - Dtsch Med Wochenschr
JT  - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
EDAT- 2017/04/08 06:00
MHDA- 2017/04/08 06:00
CRDT- 2017/04/08 06:00
AID - 10.1055/s-0042-122121 [doi]
PST - ppublish
SO  - Dtsch Med Wochenschr. 2017 Apr;142(7):530-533. doi: 10.1055/s-0042-122121. Epub
      2017 Apr 7.

<?xml version="1.0" encoding="UTF-8"?>
<b:Sources SelectedStyle="" xmlns:b="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"  xmlns="http://schemas.openxmlformats.org/officeDocument/2006/bibliography" >
</b:Sources>