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Perirenal hematoma: a rare complication of anticoagulant therapy

dc.contributor.authorSilva, Frederico
dc.contributor.authorMoutinho, Joana
dc.contributor.authorNascimento, Joana
dc.contributor.authorVasconcelos, Tiago
dc.contributor.authorSimões, Inês G.
dc.date.accessioned2024-12-30T12:46:25Z
dc.date.available2024-12-30T12:46:25Z
dc.date.issued2023-11-18
dc.description.abstractHemorrhagic complications arising from anticoagulant use are a well-recognized concern in clinical practice. This case study presents an 84-year-old woman with multiple cardiovascular risk factors, including atrial fibrillation, who developed a perirenal hematoma after just five doses of enoxaparin, prescribed for stroke prevention. The patient exhibited altered mental status and abdominal pain, prompting imaging studies revealing the hematoma. This case highlights the importance of vigilance in patients at risk for bleeding complications, especially in the initial days of anticoagulant therapy. Diagnostic imaging, particularly CT scans or ultrasound, is crucial for early detection. Management strategies range from discontinuing anticoagulants to potential interventions like anticoagulation reversal, angiography, or surgery. The decision to resume anticoagulation presents a challenge and requires a personalized approach based on patient factors. This case underscores the need for continued vigilance, early diagnosis, and evidence-based decisions in managing patients on anticoagulants, emphasizing the necessity for further research to establish clear guidelines in such complex clinical scenarios.eng
dc.identifier.doi10.7759/cureus.48986
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.1/26550
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Science and Business Media LLC
dc.relation.hasversionhttps://www.cureus.com/articles/205384-perirenal-hematoma-a-rare-complication-of-anticoagulant-therapy#!/
dc.relation.ispartofCureus
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectComplications of anticoagulation
dc.subjectDiagnostic imaging
dc.subjectEnoxaparin
dc.subjectHemorrhagic complications
dc.subjectPerirenal hematoma
dc.titlePerirenal hematoma: a rare complication of anticoagulant therapyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage7
oaire.citation.issue11
oaire.citation.startPage1
oaire.citation.titleCureus: Journal of Medical Science
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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