Covid-19 Research

Case Report

Spontaneous Breast Hematoma Induced by Vitamin K Antagonist Therapy: A Case Report

Journal of Biomedical Research & Environmental Sciences article abstract with citation details, DOI, publication dates, subject areas, full text links, and references.

Article Details

Publication record, authors, dates, abstract, and full text access.

Open Access
Article Type Case Report
Subject Medicine Group
OCLC JBRES Record
Amri M*, Altimimi A, Boudar A, Asklou A, Azzouzi L and Habbal R
Issue: Volume5-Issue8
Pages: 1063-1066
Received: 2024-07-31
Accepted: 2024-08-30
Published: 2024-08-31

Abstract

Anticoagulant medications, particularly Vitamin K Antagonists (VKAs), are essential for managing thrombotic conditions but can cause severe side effects such as spontaneous hematomas. This case report describes a 69-year-old woman on VKA therapy who developed a large right breast hematoma. Immediate suspension of VKA, blood transfusions, and vitamin K administration led to clinical improvement. Breast ultrasonography confirmed the diagnosis, and after a week, the hematoma regressed, allowing for the resumption of anticoagulation with unfractionated heparin. This case highlights the need for careful monitoring and management of VKA therapy, especially in elderly patients.

Certificate of Publication

Certificate of Publication

Copyright

© 2024 Amri M. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

Amri M, Altimimi A, Boudar A, Asklou A, Azzouzi L, Habbal R. Spontaneous Breast Hematoma Induced by Vitamin K Antagonist Therapy: A Case Report. J Biomed Res Environ Sci. 2024 Aug 31; 5(8): 1063-1066. doi: 10.37871/jbres1989, Article ID: JBRES1989, Available at: https://www.jelsciences.com/articles/jbres1989.pdf

Subject area(s)

References

  1. Kayaalp SO. Medical pharmacology for rational treatment. Ankara: Pelikan Publishing. 2012.
  2. Yang JC, Makaryus AN. Warfarin Anticoagulation and Spontaneous Pectoral Haematomas. Heart Lung Circ. 2016 Jul;25(7):e81-4. doi: 10.1016/j.hlc.2015.10.022. Epub 2016 Feb 8. PMID: 26948766.
  3. Gani I, Kapoor R, Saeed M. Spontaneous Breast Haematoma after Heparin Anticoagulation. Eur J Case Rep Intern Med. 2020 Jun 11;7(9):001735. doi: 10.12890/2020_001735. PMID: 32908833; PMCID: PMC7473684.
  4. Patel N, Baker SM, Modrykamien A. Hemorrhagic shock due to spontaneous pectoral hematoma associated with anticoagulation therapy. J Gen Intern Med. 2013 Dec;28(12):1673. doi: 10.1007/s11606-013-2451-z. Epub 2013 May 1. PMID: 23636915; PMCID: PMC3832720.
  5. Shakerian B, Razavi N. Warfarin-Induced Spontaneous Bilateral Breast and Extrathoracic Hematoma in an Elderly Woman. J Tehran Heart Cent. 2020 Apr;15(2):84-85. doi: 10.18502/jthc.v15i2.4190. PMID: 33552201; PMCID: PMC7825465.
  6. Gündeş E, Değer KC, Taşcı E, Senger AS, Duman M. Anticoagulant-induced breast hematoma. Ulus Travma Acil Cerrahi Derg. 2017 Jan;23(1):72-73. doi: 10.5505/tjtes.2016.01657. PMID: 28261775.
  7. Beyth RJ, Landefeld CS. Anticoagulants in older patients. A safety perspective. Drugs Aging. 1995 Jan;6(1):45-54. doi: 10.2165/00002512-199506010-00004. Erratum in: Drugs Aging 1995 Apr;6(4):343. PMID: 7696778.
  8. Patel MR. The role of antiplatelet therapy in the management of cardiovascular disease. American Journal of Cardiology. 2011;108(1):24-33.
  9. Lanas A. NSAID-induced gastrointestinal damage and the role of proton pump inhibitors. Nature Reviews Gastroenterology & Hepatology. 2011;8(8):481-493.
  10. Maree AO. The effect of antibiotic therapy on the INR in patients on stable warfarin therapy. Journal of Clinical Pharmacy and Therapeutics. 2010;35(5):499-504.
  11. Benbouchta K, Mrabet A, Kallel O, El Ouafi N, Bazid Z. Spontaneous massive pectoral hematoma induced by vitamin K antagonist therapy: a case report. Pan Afr Med J. 2021 Apr 1;38:324. doi: 10.11604/pamj.2021.38.324.28454. PMID: 34285747; PMCID: PMC8265252.
  12. Ming-Yang Li, Xiao-Ping Li, Hai-Xian Ren, Shi-Hui Tang, Booreddy S, Can-Can Zhang, Zhi-Jun Tan. Rivaroxaban-induced breast spontaneous hematoma: A case report. Int J Clin Exp Med. 2018;11(6):6378-6382.
  13. Gani I, Kapoor R, Saeed M. Spontaneous Breast Haematoma after Heparin Anticoagulation. Eur J Case Rep Intern Med. 2020 Jun 11;7(9):001735. doi: 10.12890/2020_001735. PMID: 32908833; PMCID: PMC7473684.
Publish with JBRES — Peer-reviewed, multidisciplinary Open Access with rapid review, DOI, and global visibility.
Double-Blind CrossRef DOI Discoverable