Enoksaparin ile antikoagülasyon sonrası rüptüre pulmoner enfarkta bağlı spontan hemootoraks: Olgu sunumu

Pulmonary thromboemboli remains a leading cause of morbidity and mortality. Embolic obstruction of pulmonary vasculature may result in pulmonary hemorrhage but usually does not cause pulmonary infarction. Pulmonary infarction may occur during only in 10% of pulmonary emboli, but the rupture of pulmonary infarction is a very rare condition in the chest disease clinics. In the literature only a few case reports have been published. We report spontaneous hemothorax in a patient with pulmonary thromboembolism anticoagulated with enoxiparin (1 mg/kg, bid, SC) which was thought to develop due to ruptured pulmonary infarction. The patient was successfully managed with discontinuation of anticoagulation, blood and plasma transfusions, chest tube drainage for evacuation of blood from the pleural space.