SPONTANEOUS HEMOTHORAX DUE TO RUPTURED PULMONARY INFARCTION AFTER ANTICOAGULATION WITH ENOXAPARIN: A CASE REPORT

Bircan H. A., Sahin U., AKKAYA A.

EURASIAN JOURNAL OF PULMONOLOGY, vol.8, no.1, pp.33-36, 2006 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 1
  • Publication Date: 2006
  • Journal Name: EURASIAN JOURNAL OF PULMONOLOGY
  • Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Page Numbers: pp.33-36
  • Keywords: anticoagulant, enoxaparin, pulmonary thromboembolism, ruptured infarction, spontaneous hemothorax
  • Bezmialem Vakıf University Affiliated: No

Abstract

Pulmonary thromboembolism remains a leading cause of morbidity and mortality. Embolic obstruction of pulmonary vasculature may result in pulmonary hemorrhage but usually does not cause pulmonary infarction. Pulmonary infarction may occur only 10 % of pulmonary emboli but, the rupture of pulmonary infarction is a very rare condition in the chest diseases clinics. In the literature only a few case reports have been published. We report here spontaneous hemothorax that thought to be occurred due to ruptured pulmonary infarction in a case of pulmonary thromboembolism anticoagulated with enoxaparin (1mg/kg, bid, SC). The patient was successfully managed with discontinuation of anticoagulation, blood and plasma transfusions, chest tube drainage for evacuation of blood from the pleural space.