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Spontaneous duodenal hematoma: a rare complication of triple antithrombotic therapy case report

Mazin N Habhab1, Asad J Torabi2, Julie M Clary3

  • 1Department of Internal Medicine, Indiana University School of Medicine, 1120 W Michigan St, Indianapolis, IN 46202, USA.

Future Cardiology
|March 10, 2023
PubMed

Triple therapy is defined as concurrent use of an anticoagulant and dual antiplatelet therapy. We aimed to review the clinical course of a patient who developed a spontaneous duodenal hematoma on triple therapy and appraise current guidelines regarding triple antithrombotic therapy use. A 59-year-old man presented with acute heart failure and an apical mural thrombus. After medical stabilization, the patient underwent elective coronary stent placement. He was placed on triple antithrombotic therapy and subsequently developed a spontaneous duodenal hematoma. This case describes a rare but potentially fatal complication of triple therapy and underscores the importance of underutilizing this therapy. In conclusion, we report the clinical presentation and management of a rare bleeding complication in a patient on triple therapy.

Keywords:
atrial fibrillationduodenal hematomaleft ventricular thrombuspercutaneous coronary interventiontriple antithrombotic therapy

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