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Enoxaparin-induced unilateral hemotympanum
Umit Aydin1, M Burak Asik, M Cemal Gokgoz
1Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Summary
Spontaneous hemotympanum, or blood in the middle ear, is rare but can occur with anticoagulant use. This case highlights enoxaparin as a potential cause, managed conservatively with full recovery.
Area of Science:
- Otolaryngology
- Hematology
- Pharmacology
Background:
- Hemotympanum is blood in the middle ear, often linked to skull fractures.
- Spontaneous hemotympanum without trauma is uncommon.
- Anticoagulant therapy can increase bleeding risk.
Observation:
- A 51-year-old woman presented with spontaneous right hemotympanum.
- Her medical history included the use of enoxaparin, a common anticoagulant.
- This represents the first reported case of enoxaparin-induced spontaneous hemotympanum.
Findings:
- Conservative management led to complete resolution of hemotympanum signs and symptoms.
- Enoxaparin was identified as the likely cause of the spontaneous bleeding.
- Close monitoring is crucial for managing hemotympanum and preventing complications.
Implications:
- Anticoagulant therapy, specifically enoxaparin, should be considered in the differential diagnosis of spontaneous hemotympanum.
- Clinicians must be aware of potential hemorrhagic complications associated with anticoagulant treatments.
- This case underscores the importance of considering medication side effects in unexplained medical presentations.
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