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Published on: June 18, 2021

Uncontrollable haemorrhage following dabigatran prophylaxis

Pavandeep Singh Sandhu1, Caroline Wilson, Emily Dalton

  • 1Department of Anaesthetics, Stoke Mandeville Hospital, Bucks, UK. pavansingh@doctors.org.uk

BMJ Case Reports
|June 14, 2013
PubMed

An 88-year-old man, on dabigatran anticoagulation after a total hip replacement 1 week before admission, presented with acute abdominal pain associated with malaena and haematemesis. After examination and investigation, he was found to have a perforated viscus and underwent laparotomy. The perforation was surgically repaired, but the patient suffered from a massive haemorrhage during the operation, requiring intensive care admission postoperatively. The patient subsequently deteriorated despite aggressive treatment and died several days later.

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