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Rectus sheath hematoma following enoxaparin administration
Ryan E Dean1, Ganesh Maniam1, Thien Vo1
1Department of Internal Medicine, Texas Tech University Health Sciences CenterAmarilloTexas.
Proceedings (Baylor University. Medical Center)
|July 18, 2020
Summary
Low-molecular-weight heparin like enoxaparin is a common thromboprophylaxis. A rare case of epigastric artery rectus sheath hematoma after enoxaparin injection led to multiorgan failure.
Area of Science:
- Internal Medicine
- Pharmacology
- Vascular Surgery
Background:
- Low-molecular-weight heparin (LMWH), such as enoxaparin, is a widely used anticoagulant for thromboprophylaxis.
- Enoxaparin offers comparable efficacy to unfractionated heparin with a reduced risk profile, making it a first-line treatment option.
Observation:
- This report details a rare case of epigastric artery rectus sheath hematoma.
- The hematoma occurred subsequent to an enoxaparin injection.
Findings:
- The rectus sheath hematoma resulted in hemorrhagic shock.
- Hemorrhagic shock led to secondary multiorgan failure in the patient.
Implications:
- This case highlights a rare but severe complication associated with enoxaparin therapy.
- Awareness of this potential adverse event is crucial for prompt recognition and management by clinicians.
- Early diagnosis and intervention are key to improving outcomes in patients presenting with similar hematoma complications.
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