Massive Spontaneous Haemothorax after Rivaroxaban Therapy for Acute Pulmonary Embolism

Tan, Yan Denise and Goh, Kai Heng Raymond and Ng, Heng Joo (2019) Massive Spontaneous Haemothorax after Rivaroxaban Therapy for Acute Pulmonary Embolism. European Journal of Case Reports in Internal Medicine, 6 (10). ISSN 2284-2594

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Abstract

Spontaneous haemothorax complicating the treatment of pulmonary embolism is rare and potentially fatal. We describe a patient with pulmonary embolism and severe pleuritic pain who developed a life-threatening haemothorax 10 days later while on rivaroxaban therapy. This case highlights the fact that severe pleuritic pain associated with pulmonary embolism may indicate subclinical infarction of tissue near the visceral pleura with an increased risk of pleural effusion and the subsequent development of a haemothorax. It is important to recognise such danger signs warranting closer attention, especially since the increased use of direct oral anticoagulants has facilitated ambulatory care and this complication may manifest in the outpatient setting.

Item Type: Article
Uncontrolled Keywords: Spontaneous haemothorax, pulmonary embolism, pulmonary infarction, rivaroxaban, anticoagulation
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 09:11
Last Modified: 19 Nov 2020 09:11
URI: http://eprints.bice.rm.cnr.it/id/eprint/19527

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