Delayed Bleeding and Pelvic Haematoma after Low-Energy Osteoporotic Pubic Rami Fracture in a Warfarin Patient : An Unusual Cause of Abdominal Pain
Joint Authors
Regis, Dario
Sandri, Andrea
Bizzotto, Nicola
Source
Case Reports in Emergency Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Acute abdominal pain may be the presenting symptom in a wide range of diseases in the elderly.
Acute abdominal pain related to a delayed bleeding and pelvic haematoma after a low-energy pubic rami fracture is rare and can have important consequences; to the best of our knowledge, only one case has been previously described.
Case Report.
We present an unusual case of an 83-year-old woman taking warfarin for atrial fibrillation, admitted to the Emergency Department (ED) with acute abdominal pain and progressive anemia related to a delayed bleeding and pelvic haematoma 72 hours after a low-energy osteoporotic pubic rami fracture.
Warfarin was withheld, anticoagulation was reversed by using fresh frozen plasma and vitamin K, and concentrated red blood cells were given.
Haemoglobin level gradually returned to normal with a progressive resorption of the haematoma.
Conclusion.
Delayed bleeding and pelvic haematoma after osteoporotic pubic rami fracture should be considered in the differential diagnosis of acute abdominal pain in the elderly.
This case indicates the need for hospital admission, careful haemodynamic monitoring, and early identification of bleeding in patients with “benign” osteoporotic pubic rami fracture, especially those receiving anticoagulants, to provide an adequate management and prevent severe complications.
American Psychological Association (APA)
Sandri, Andrea& Regis, Dario& Bizzotto, Nicola. 2014. Delayed Bleeding and Pelvic Haematoma after Low-Energy Osteoporotic Pubic Rami Fracture in a Warfarin Patient : An Unusual Cause of Abdominal Pain. Case Reports in Emergency Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-497713
Modern Language Association (MLA)
Sandri, Andrea…[et al.]. Delayed Bleeding and Pelvic Haematoma after Low-Energy Osteoporotic Pubic Rami Fracture in a Warfarin Patient : An Unusual Cause of Abdominal Pain. Case Reports in Emergency Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-497713
American Medical Association (AMA)
Sandri, Andrea& Regis, Dario& Bizzotto, Nicola. Delayed Bleeding and Pelvic Haematoma after Low-Energy Osteoporotic Pubic Rami Fracture in a Warfarin Patient : An Unusual Cause of Abdominal Pain. Case Reports in Emergency Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-497713
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497713