Spontaneous bilateral haemothorax with haemopericardium secondary to rivaroxaban.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:Although the risk of major bleeding with non-vitamin K antagonist oral anticoagulant (NOAC) is low, life-threatening bleeding can occur. CASE SUMMARY:We report a case of an 81-year-old female with deep vein thrombosis who developed bilateral spontaneous haemothorax and haemopericardium after rivaroxaban therapy. Diagnostic thoracentesis revealed a grossly bloody pleural effusion. She was treated with factor eight inhibitor bypassing agent, but the result was not satisfactory. WHAT IS NEW AND CONCLUSION:To our knowledge, this is the first case report of a concomitant presentation of spontaneous bilateral haemothorax and haemopericardium due to rivaroxaban use. This case highlights the potential risk of major haemorrhagic complication of NOAC, which could be life-threatening and require emergent reversal.

journal_name

J Clin Pharm Ther

authors

Yu JH,Liu HH,Hsieh MJ,Hsieh IC,Chu PH,Chen DY

doi

10.1111/jcpt.13116

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1175-1178

issue

5

eissn

0269-4727

issn

1365-2710

journal_volume

45

pub_type

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