Enoxaparin-induced unilateral hemotympanum

Hemotympanum is defined as the presence of blood in the middle ear cavity. It is commonly associated with skull fractures. Spontaneous hemotympanum secondary to anticoagulant therapy is extremely rare. Herein, we report the first case of a 51-year-old woman with right spontaneous hemotympanum relate...

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Bibliographic Details
Published in:	Blood coagulation & fibrinolysis Vol. 26; no. 5; pp. 577 - 579
Main Authors:	Aydin, Umit, Asik, M Burak, Gokgoz, M Cemal, Karakoc, Omer
Format:	Journal Article
Language:	English
Published:	England Copyright YEAR Wolters Kluwer Health, Inc. All rights reserved 01-07-2015
Subjects:	Anticoagulants - administration & dosage Anticoagulants - therapeutic use Ear Diseases - chemically induced Ear Diseases - etiology Enoxaparin - administration & dosage Enoxaparin - therapeutic use Female Hemorrhage - chemically induced Hemorrhage - etiology Humans Middle Aged
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Summary:	Hemotympanum is defined as the presence of blood in the middle ear cavity. It is commonly associated with skull fractures. Spontaneous hemotympanum secondary to anticoagulant therapy is extremely rare. Herein, we report the first case of a 51-year-old woman with right spontaneous hemotympanum related to the use of enoxaparin. Complete resolution of signs and symptoms was accomplished by conservative management. Close follow-up is important to assure resolution and reduce long-term sequelae. The use of anticoagulants should be considered in the differential diagnosis of hemotympanum. This is also a good case for clinicians to be mindful about hemorrhagic complications of anticoagulant treatment.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0957-5235 1473-5733
DOI:	10.1097/MBC.0000000000000286