Massive Spontaneous Haemothorax after Rivaroxaban Therapy for Acute Pulmonary Embolism

European Journal of Case Reports in Internal Medicine

Heng Joo Ng¹  Yan Denise Tan²  Kai Heng Raymond Goh² 

[1] Department of Haematology, Singapore General Hospital, Singhealth, Singapore;Department of Medicine, Sengkang General Hospital, Singhealth, Singapore;

关键词: spontaneous haemothorax;    pulmonary embolism;    pulmonary infarction;    rivaroxaban;    anticoagulation;   

DOI  :  10.12890/2019_001236

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown