Hematoma espont¨¢neo de la pared abdominal asociado a la terapia antiagregante en el paciente geri¨¢trico
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- 作者：Josué ; Carvajal Balaguera ; josuecarvajal@yahoo.es ; Javier Casado Garcí ; a ; Mercedes Martí ; n Garcí ; a-Almenta ; Soledad Oliart Delgado de Torres ; Juan Camuñ ; as Segovia ; Carlos M.ª ; Cerquella Herná ; ndez
- 关键词：Anciano ; Hematoma espontá ; neo de pared abdominal ; Complicaciones del tratamiento antiagregante
- 刊名：Revista Espa?ola de Geriatr¨ªa y Gerontolog¨ªa
- 出版年：2006
- 出版时间：July 2006
- 年：2006
- 卷：41
- 期：4
- 页码：240-244
- 全文大小：256 K
文摘
We report a case of spontaneous haematoma of the abdominal wall in an 85-year-old man who was under long-term antiaggregant therapy consisting of 300 mg/day of acetylsalicylic acid. The patient presented with right hypochondriac pain. Computed tomography (CT) scan showed haematoma of the abdominal wall. Conservative treatment was given and follow-up CT scans revealed regression of the haematoma. The patient was discharged from the hospital on the 15th day. We conclude that the treatment of choice of a non-ruptured spontaneous haematoma of the abdominal wall should be conservative with close observation. A switch from acetylsalicylic acid therapy to another antiaggregant therapy once the patient is stable is strongly recommended.