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Massive Preperitoneal Hematoma after a Subcutaneous Injection.

Hideki Katagiri1, Kentaro Yoshikawa1, Alan Kawarai Lefor2

  • 1Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, Urayasu, Chiba 279-0001, Japan.

Case Reports in Surgery
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Summary
This summary is machine-generated.

A rare preperitoneal hematoma occurred in a patient receiving anticoagulation after a teriparatide injection. This case highlights the potential risk of subcutaneous injections in patients on anticoagulation therapy.

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Area of Science:

  • Internal Medicine
  • Geriatrics
  • Pharmacology

Background:

  • Preperitoneal hematomas are uncommon complications, typically associated with surgery or trauma.
  • Systemic anticoagulation therapy is frequently prescribed for various medical conditions.
  • Teriparatide is a widely used medication administered via subcutaneous injection.

Purpose of the Study:

  • To report a rare case of massive preperitoneal hematoma formation following subcutaneous teriparatide injection.
  • To identify potential contributing factors for this adverse event in a patient on anticoagulation.

Main Methods:

  • Case report of a 74-year-old female patient.
  • Review of patient's medical history, including current medications and recent procedures.
  • Analysis of the clinical presentation and management of the preperitoneal hematoma.

Main Results:

  • A massive preperitoneal hematoma developed after a subcutaneous teriparatide injection.
  • The patient was receiving systemic anticoagulation at the time of the event.
  • The combination of teriparatide injection and anticoagulation was implicated in the hematoma formation.

Conclusions:

  • Subcutaneous teriparatide injection can be associated with preperitoneal hematoma, particularly in patients on anticoagulation.
  • Physicians should be aware of this rare but potentially life-threatening complication.
  • Careful consideration of risk factors is necessary for patients receiving subcutaneous injections while on anticoagulation.