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Updated: Aug 6, 2026

Massive Pontine Hemorrhage by Dual Injection of Autologous Blood
Published on: May 29, 2021
Life-threatening hematoma associated with paracentesis: a case report
Siva K Mulpuru1, Naresh A Mori, Robert L Levey
1Department of Internal Medicine, Long Island College Hospital, Brooklyn, New York 11201, USA.
Abstract:
Deep venous thrombosis prophylaxis is recommended in all high-risk hospitalized medical patients. We describe a unique complication of paracentesis in a patient receiving unfractionated heparin for deep venous thrombosis prophylaxis. Our patient developed a very large rectus sheath hematoma and hypotension gradually after paracentesis. Heparin should be used with caution for deep venous thrombosis prophylaxis in patients undergoing paracentesis.
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