Abstract Number: PB0430
Meeting: ISTH 2021 Congress
Background: Even though primary angioplasty is the suggested treatment for early revascularization, thrombolysis is still used as well. Even though thrombolysis has a lower risk of complications, they may still occur.
Aims: Thrombolysis complication.
Methods: This was the case for a male 68-year-old patient with smoking as the only cardiac risk factor. He was diagnosed by clinical, electrocardiogram and cardiac enzymes with inferior acute myocardial infarction. Due to primary angioplasty being inaccessible at that moment, it was decided to thrombolysis with streptokinase. Treatment with antiplatelet agents, anticoagulants and anti-ischemic drugs was provided as recommended. One day later, the patient presented epigastric and mesogastric pain, abdominal rigidity and hypoactive bowel sounds. Low blood pressure, tachycardia and oliguria were also present. A sonogram was performed in which free intraperitoneal fluid and hepatic subcapsular hematoma were detected. The hepatic subcapsular hematoma was confirmed in the abdominal CT scan[Ed1] . After a surgery consultation, it was decided to keep the patient under observation. The use of anticoagulants and antiplatelet agents was suspended, and the patient underwent NPO[Ed2] and hydroelectrolytic therapy. The patient showed improvement within two days and was discharged a week later.
Results: Case report.
Conclusions: Acute coronary syndromes have several complications, such as those related to fibrinolysis. Hepatic hematoma is considered to be a major complication of fibrinolysis. In the literature, we only found five cases of hepatic hematoma with hepatic rupture secondary to thrombolysis and CPR. Our patient did not present CPR or hematologic alterations.
To cite this abstract in AMA style:Madrigal-Campos DA, Madrigal-Sanchez BdC. Subcasular Hepatic Hematoma as Thrombolysis Complication. Case Report [abstract]. Res Pract Thromb Haemost. 2021; 5 (Suppl 2). https://abstracts.isth.org/abstract/subcasular-hepatic-hematoma-as-thrombolysis-complication-case-report/. Accessed May 16, 2022.
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