Korean Circ J.  1998 Oct;28(10):1798-1801. 10.4070/kcj.1998.28.10.1798.

A Case of Spontaneous Retroperitoneal Hemorrhage due to Iliopsoas Muscle Hematoma in Patient with Myocardial Infarction Receiving Intravenous Heparin

• Kim HJ
• Kim DY
• Whang MG
• Jo HK

• KMID: 1858290
• DOI: http://doi.org/10.4070/kcj.1998.28.10.1798

Abstract

The most common adverse effect of intravenous heparin is hemorrhage. Of the these, retroperitoneal hemorrhage and femoral neuropathy secondary to heparin anticoagulation has reported in 1966 for the first time by DeBolt and Jordan. We experienced a case of spontaneous retroperitoneal hemorrhage due to iliopsoas muscle hematoma in patient with myocardial infarction receiving intravenous heparin for a 3 days in therapeutic doses. The pathophysiology of iliopsoas muscle hematoma has not yet been cleared. But because of the possibility of large amount in volume, retroperitoneal hemorrhage has been known as a serious adverse effect that leads to the hypovolemic shock and death. In this article, we described the clinical manifestation, the importance of the early diagnosis and diagnostic clues and associated factors of the retroperitoneal hemorrhage in patient receiving intravenous heparin.

Keyword

Heparin; Iliopsoas muscle hematoma; Retroperitoneal hemorrhage

MeSH Terms

Early Diagnosis
Femoral Neuropathy
Hematoma*
Hemorrhage*
Heparin*
Humans
Jordan
Myocardial Infarction*
Shock
Heparin