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Related Experiment Videos

Pelvic hematoma after intercourse while on chronic anticoagulation.

D H Marks, R P Dellinger, W W Orrison

    Annals of Emergency Medicine
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Anticoagulated patients can experience rare pelvic hematomas, often presenting as severe pelvic pain after intercourse. Prompt diagnosis with ultrasound and CT scans is crucial for effective emergency care.

    Area of Science:

    • Emergency Medicine
    • Radiology
    • Hematology

    Background:

    • Pelvic pain is a common emergency department complaint.
    • Anticoagulation therapy increases the risk of bleeding complications.
    • Pelvic hematomas are a rare but serious cause of pelvic pain.

    Observation:

    • A 41-year-old anticoagulated woman presented with acute-onset pelvic pain.
    • Pain onset was associated with sexual intercourse.
    • Physical examination findings were not specified.

    Findings:

    • Ultrasound and computerized tomographic (CT) scans confirmed a pelvic hematoma.
    • Clotting studies normalized spontaneously.
    • The pelvic hematoma resolved without intervention.

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    Implications:

    • Emergency physicians should consider pelvic hematoma in anticoagulated patients with pelvic pain.
    • A detailed patient history is vital for diagnosis.
    • Ultrasound and CT are valuable diagnostic tools for pelvic hematoma.