Spontaneous Gluteus Muscle Haematoma in a Haemodialysis Patient

Lee, Sik; Paeck, Kyung Hyun; Kim, Won; Kang, Kyung Pyo; Jang, Yong Bum; Lee, Sang Yup; Kwon, Keun Sang; Kim, Jong H.; Park, Sung K

doi:10.1111/j.1440-1797.2006.00580.x

Cited by 1 publication

(4 citation statements)

References 9 publications

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“…In addition, there is also increased bleeding tendency in patients with renal failure, especially those HD patients receiving anticoagulants. 1,4,13,27,28 Considering these scenarios, it is critical to distinguish between hematoma and DVT in patients with HD. Otherwise it can lead to the initiation of empiric anticoagulation that can have serious consequences, including compartment syndrome with significant blood loss.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, they also observed that symptomatic thrombotic events are much higher in dialysis patients. In addition, there is also increased bleeding tendency in patients with renal failure, especially those HD patients receiving anticoagulants . Considering these scenarios, it is critical to distinguish between hematoma and DVT in patients with HD.…”

Section: Discussionmentioning

confidence: 99%

“…have been reported. [1][2][3][4][5] However, the incidence of spontaneous calf hematoma is rare in patients receiving maintenance HD. Notably, in clinics, it is hard to identify both deep venous thrombosis (DVT) and spontaneous hematoma when patients present with unilateral calf swelling and tenderness.…”

Section: Introductionmentioning

confidence: 99%

“…High bleeding tendency and spontaneous hemorrhage in patients with end‐stage renal disease (ESRD), especially in patients receiving maintenance hemodialysis (HD), resulting from the use of anticoagulants, abnormal platelet amount and its dysfunction as well as severe anemia, etc. have been reported . However, the incidence of spontaneous calf hematoma is rare in patients receiving maintenance HD.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous calf hematoma in a patient with diabetic nephropathy receiving maintenance hemodialysis: A case report and review of the literature

Xiao

Ling

Tan

et al. 2014

Hemodialysis International

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We report the outcome of a 52-year-old patient with diabetic nephropathy and receiving maintenance hemodialysis (HD) using low molecular weight heparin (LMWH) as an anticoagulant for 2 years. He presented right lower limb pain accompanied with difficulty in walking for 2 months, and had no history of bleeding tendency or trauma. Physical examination revealed marked swelling and tenderness on his right lower limb. By ultrasound and magnetic resonance imaging (MRI) diagnoses, the calf hematoma was diagnosed and identified with venous thrombosis. Following treatment with heparin-free HD, the swelling regressed and pain subsided, and a follow-up MRI showed complete dissolution of hematoma. However, similar symptoms recurred in the right upper limb after 2 months without any predisposition, he was just placed on HD with LMWH, and symptoms regressed following the aforementioned therapy. This suggests that HD patients, especially with diabetic nephropathy having extremity hematoma, should be watched for the development of spontaneous hemorrhage that can be differentially diagnosed by imaging tests, such as MRI, and can be effectively treated with heparin-free HD.

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