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HEMORRHAGIC SHOCK DUE TO PSOAS MUSCLE RUPTURE IN A PATIENT ON ANTICOAGULATION THERAPY

MAJA SVETEC ; Department of Emergency Medicine of Varaždin County, Varaždin, Croatia
VIŠNJA NESEK ADAM orcid.org/0000-0002-6521-4136 ; Sveti Duh University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Emergency Department, Zagreb, Croatia

Abstract

Hypovolemic shock due to large circulating volume loss is a vital threat to patient life. Loss of circulating volume can be provoked by a number of factors, one of them being oral anticoagulation therapy. This paper presents a case report of a 69-year-old patient on warfarin anticoagulant therapy, who was admitted to the emergency department with clinical presentation of hypovolemic (hemorrhagic) shock due to left psoas muscle rupture. Defi nitive diagnosis was made by multi-slice computed tomography of abdominal blood vessels with contrast, and the bleeding was surgically treated after initial conservative therapy.

Keywords

hypovolemic shock; anticoagulation therapy; warfarin; psoas muscle rupture

Hrčak ID:

236591

URI

https://hrcak.srce.hr/236591

Publication date:

16.3.2020.

Article data in other languages: croatian

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