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KMID : 0604020140290020126
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 2 p.126 ~ p.130
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A Fatal Case of a Large Abdominal Wall Muscle Hematoma Secondary to Low-Molecular-Weight Heparin Injections
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Kim Mi-Yeon
Kang Hyeon-Ju
Ryu Min-Sun
Kim Seo-Woo
Ryu Yon-Ju
Lee Seok-Jeong
Lee Jin-Hwa
Chang Jung-Hyun
Hwang Ji-Young
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Abstract
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The use of low-molecular-weight heparin (LMWH) can lead to major life threatening complications, including hematomas. Abdominal wall muscle hematomas are rarely fatal, and encompass a wide spectrum of severity depending on size, etiology, and associatedcomplications; but because of their rarity may be misdiagnosed clinically. We report a fatal case of an 80-year-old female who receivedLMWH after an episode of pulmonary thromboembolism and was subsequently diagnosed with a large right abdominal wallhematoma complicated with hypovolemic shock and acute kidney injury.
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KEYWORD
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hematoma, hypovolemic shock, low-molecular-weight heparin
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