Reactions 1704, p47 - 2 Jun 2018 Giant non-traumatic abdominal wall haematoma: case report An 82-year-old woman developed giant non-traumatic abdominal wall haematoma during treatment with apixaban [dosage, route, time to reaction onset and outcome not stated]. The woman, who had chronic obstructive pulmonary disease and atrial fibrillation, had been receiving apixaban therapy. She was hospitalised for the exacerbation of chronic obstructive pulmonary disease. On day 5 of the hospitalisation, she complained of mild left side abdominal pain. The following day, her haemoglobin decreased from 11.7 g/dL to 8.4 g/dL. Her abdomen was ecchymotic, tender and swollen. CT scan of abdomen/pelvis demonstrated haematoma of size 22.6 x 8.7 x 7.3cm on the left ventral abdominal wall. The woman’s treatment with apixaban was stopped. Thereafter, she was started receiving treatment with warm compresses and analgesics [unspecified]. The next day, her haemoglobin decreased to 7.1 g/dL. Therefore, she received one unit of packed RBCs. Her haemoglobin then remained stable for days prior to the discharge. Author comment: "Clinicians should consider hematoma when evaluating acute abdominal pain in geriatric patients on anticoagulation." Woodman BF, et al. Giant non-traumatic abdominal wall hematoma in an anticoagulated patient. Journal of the American Geriatrics Society 66 (Suppl. 2): S256, Jan 2018. Available from: URL: http://doi.org/10.1111/jgs.15376 [abstract] - USA 803323850 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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