Thrombopénies à l'héparine compliquées d'hématome des surrénales et d'insuffisance surrénalienne aiguë

A, Delhumeau; Houet, J.F.; Bourrier, P.; Bukowski, J.G.; Granry, J.C.

doi:10.1016/s0750-7658(89)80183-2

Annales Françaises d'Anesthésie et de Réanimation

1989

DOI: 10.1016/s0750-7658(89)80183-2

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Thrombopénies à l'héparine compliquées d'hématome des surrénales et d'insuffisance surrénalienne aiguë

Delhumeau A¹,

J.F. Houet²,

P. Bourrier³

et al.

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Cited by 9 publications

References 3 publications

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Heparin-associated thrombocytopenia syndrome: An underestimated etiology of adrenal hemorrhage

Moreau

Chapotte

et al. 1993

Intensive Care Med

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A 74-year-old man developed bilateral arterial thrombosis of the lower limbs related to heparin-associated thrombocytopenia syndrome (HATS). On day 4 after thrombectomy of both limbs, abdominal pain, fever, hypotension, abdominal tenderness appeared. Acute acalculous cholecystitis was suspected and cholecystectomy was carried out although the gallbladder was not imflamed. Later on, hyponatremia in addition to the aforesaid signs suggested the diagnosis of adrenal insufficiency. Diagnosis was confirmed by low cortisol and aldosterone plasma concentration and by CT scan, which showen two enlarged adrenal glands. HATS might explain two unexpected facts: occurrence of adrenal hemorrhage during heparin therapy with coagulation tests within the therapeutic range and paradoxical thrombosis in the central vein of adrenal gland. HATS must be regarded as one cause of adrenal hemorrhage necrosis.

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Heparin-associated thrombocytopenia syndrome: An underestimated etiology of adrenal hemorrhage

Moreau

Chapotte

et al. 1993

Intensive Care Med

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Heparin-Related Thrombocytopenia and Adrenal Hemorrhagic Necrosis Following Aortic Surgery

Leschi

Goëau-Brissonnière

Coggia

et al. 1994

Annals of Vascular Surgery

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Un curieux choc vasoplégique après prothèse totale de la hanche

Schneider

Assemi

Faye

et al. 2003

Annales Françaises d'Anesthésie et de Réanimation

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Thrombopénies à l'héparine compliquées d'hématome des surrénales et d'insuffisance surrénalienne aiguë

Cited by 9 publications

References 3 publications

Heparin-associated thrombocytopenia syndrome: An underestimated etiology of adrenal hemorrhage

Heparin-associated thrombocytopenia syndrome: An underestimated etiology of adrenal hemorrhage

Heparin-Related Thrombocytopenia and Adrenal Hemorrhagic Necrosis Following Aortic Surgery

Un curieux choc vasoplégique après prothèse totale de la hanche

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