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Extensive postoperative ecchymosis in a patient taking dabigatran
Corey A Wagner1, Navpriya Oberoi, Prabhat K Ahluwalia
1Department of Obstetrics and Gynecology, St. Elizabeth Medical Center, Utica, New York 13413, USA. coreywag@yahoo.com
Abstract:
Herein we present the case of a 71-year-old woman who had a severe postoperative ecchymotic reaction. Our patient had a history of atrial fibrillation, for which she was given dabigatran etexilate mesylate as an anticoagulant. She discontinued her anticoagulant therapy 2 days before undergoing total laparoscopic hysterectomy with pelvic and periaortic lymph node sampling for uterine endometrioid adenocarcinoma. Despite an uneventful surgical procedure, she had widespread ecchymosis, edema, and anemia.
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