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HOME > J Yeungnam Med Sci > Volume 24(2 Suppl); 2007 > Article
Case Report Enoxaparin Induced Fatal Retroperitoneal Hematoma in Elderly Patient with Acute Coronary Syndrome -Case Report-
Sang-Hee Lee, Jong-Seon Park, Woong Kim, Geu-Ru Hong, Dong-Gu Shin, Young-Jo Kim, Bong-Sub Shim
Journal of Yeungnam Medical Science 2007;24(2 Suppl):S642-646
Published online: December 31, 2007
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Division of Cardiology, Department of Internal Medicine, Yeungnam University hospital, Daegu, Korea
Corresponding author:  Jong-Seon Park, Tel: (053) 620-3837, Fax: (053) 620-8386, 

Anticoagulation and antiplatelet therapy became a cornerstone of the primary treatment strategy in the case of acute coronary syndrome patients which planned to receive medical treatment or percutaneous coronary intervention. The anticoagulation regimen is unfractionated heparins and low molecular weight heparins enoxaparin. Despite of some debates, enoxaparin has replaced unfractionated heparins recently due to its demonstrated advantages. When we encountered acute coronary syndrome patients without contraindication for enoxaparin, it tends to be administered with no hesitation. However, a few patients treated with enoxaparin could be suffered from bleeding complication. Also, in case of bleeding into the retroperitoneal space, the result can be fatal. We report a patient who developed a fatal retroperitoneal hematoma during enoxaparin treatment for acute coronary syndrome.

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JYMS : Journal of Yeungnam Medical Science