Ostalo
HEMORRHAGIC SHOCK DUE TO PSOAS MUSCLE RUPTURE IN A PATIENT ON ANTICOAGULATION THERAPY
MAJA SVETEC
; Zavod za hitnu medicinu Varaždinske županije, Varaždin, Hrvatska
VIŠNJA NESEK ADAM
orcid.org/0000-0002-6521-4136
; Klinička bolnica Sveti Duh, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Objedinjeni hitni prijam, Zagreb, Hrvatska
Sažetak
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.
Ključne riječi
hypovolemic shock; anticoagulation therapy; warfarin; psoas muscle rupture
Hrčak ID:
236591
URI
Datum izdavanja:
16.3.2020.
Posjeta: 1.880 *