Nontraumatic Massive Spontaneous Hemothorax with Concomitant Warfarin Use
Joint Authors
Çevik, Yunsur
Pamukçu Günaydın, Gül
Tekin, Mustafa
Doğan, Nurettin Özgür
Source
Case Reports in Emergency Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-12
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Hemorrhagic complications due to warfarin use are frequently seen in emergency departments.
However, nontraumatic massive hemothorax is an unexpected complication.
We report a 59-year-old woman with warfarin overdose, who had massive hemothorax in right lung without any history of trauma.
Her main complaint was significant dyspnea, which has gradually increased in three days.
On her physical examination, she was tachypneic and had decreased lung sounds on her right hemithorax.
She took warfarin regularly for aortic and mitral valve replacement for 18 years.
Her INR level was 12.9 (0.8–1.2).
Computed tomography of thorax revealed massive hemothorax with mediastinal shift.
Fresh frozen plasma infusion was started immediately.
Tube thoracostomy was performed for reexpansion of right lung and 2000 cc blood was drained in 5 minutes.
Although hemorrhagic complications can be expected in warfarin therapy, thoracic hemorrhage related to warfarin therapy is relatively rare (3% of all hemorrhagic complications due to warfarin therapy).
To our knowledge, massive hemothorax due to warfarin use is an extremely rare condition.
American Psychological Association (APA)
Doğan, Nurettin Özgür& Pamukçu Günaydın, Gül& Tekin, Mustafa& Çevik, Yunsur. 2013. Nontraumatic Massive Spontaneous Hemothorax with Concomitant Warfarin Use. Case Reports in Emergency Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005644
Modern Language Association (MLA)
Doğan, Nurettin Özgür…[et al.]. Nontraumatic Massive Spontaneous Hemothorax with Concomitant Warfarin Use. Case Reports in Emergency Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-1005644
American Medical Association (AMA)
Doğan, Nurettin Özgür& Pamukçu Günaydın, Gül& Tekin, Mustafa& Çevik, Yunsur. Nontraumatic Massive Spontaneous Hemothorax with Concomitant Warfarin Use. Case Reports in Emergency Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005644
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1005644