Padda Inderbir, Fabian Daniel, Sebastian Sneha Annie, Reyes Nicholas, Fulton Matthew, Martinez Diana, Mahtani Arun, Sethi Yashendra, Johal Gurpreet
Richmond University Medical Center, Staten Island, NY, USA.
Department of Internal Medicine, Azeezia Medical College, Kollam, Kerala, India.
Radiol Case Rep. 2023 Feb 13;18(4):1596-1600. doi: 10.1016/j.radcr.2023.01.042. eCollection 2023 Apr.
Hemarthrosis secondary to heparin use is a scarce event, especially in patients with no underlying thrombophilia or platelet disorders. Although previously associated with thrombophilia, platelet disorders, or secondary to fibrinolytic therapy, to date, there are very few reported cases in contemporary literature for heparin-induced hemarthrosis. In this article, we report a case of left shoulder joint inferior subluxation secondary to heparin-induced hemarthrosis in an 81-year-old male with an extensive cardiac history and multiple comorbidities. This case report depicts a rare event and discusses its clinical implications aiding healthcare professionals in an early diagnosis and timely management.
肝素使用继发的关节积血是一种罕见事件,尤其在没有潜在血栓形成倾向或血小板疾病的患者中。尽管以前与血栓形成倾向、血小板疾病相关,或继发于纤维蛋白溶解疗法,但迄今为止,当代文献中关于肝素诱导的关节积血的报道病例非常少。在本文中,我们报告了一例81岁男性因肝素诱导的关节积血继发左肩关节半脱位的病例,该患者有广泛的心脏病史和多种合并症。本病例报告描述了一个罕见事件,并讨论了其临床意义,以帮助医护人员进行早期诊断和及时处理。