dicumarol and Hematoma

A 4-year-old Holstein cow from a farm where 2 cows had recently died suddenly was referred for evaluation of acute severe colic. Right flank laparotomy revealed a large mesenteric hematoma. Within 14 layer chromatographic analyses of the moldy hay and blood from the necropsied cow and the hospitalized cow were positive for dicumarol. A diagnosis of sweet vernal poisoning was confirmed on the basis of clinical and toxicologic findings. The cow was treated with supportive therapy, blood transfusions, and vitamin K1 and recovered without complications. Because sweet vernal grass is becoming common in certain areas and the use of round bales is commonplace, practitioners should be aware of the potential for this toxicosis.

Topics: Abdomen; Animals; Anticoagulants; Blood Gas Analysis; Blood Transfusion; Cattle; Cattle Diseases; Chromatography, Thin Layer; Colic; Diagnosis, Differential; Dicumarol; Female; Fluid Therapy; Hematoma; Hemophilia B; Hemorrhagic Disorders; Partial Thromboplastin Time; Plant Poisoning; Poaceae; Pregnancy; Prothrombin Time; Ultrasonography; Vitamin K

In a woman patient aged 80 years under anticoagulation with dicumarol (Marcumar), abdominal pain suddenly occurred which was located on the right side as well as signs of acute bleeding. Preoperative sonography and computer scan showed a large, cystic tumour, most likely originating from the right ovary with infiltration of the abdominal wall. Intraoperative diagnosis was a large haematoma of the abdominal wall and the retroperitoneum penetrating into the free abdomen.

Topics: Abdominal Muscles; Aged; Aged, 80 and over; Diagnosis, Differential; Diagnostic Imaging; Dicumarol; Female; Hematoma; Humans; Ovarian Cysts; Retroperitoneal Space; Thrombophlebitis

A patient is described with polycythemia vera who was taking anticoagulants and developed a spontaneous retropharyngeal hemorrhage after a violent sneezing episode. This progressed to tracheal compression with stridor after he had taken some aspirin for relief of the neck pain. An emergency tracheostomy was life saving.

Topics: Airway Obstruction; Arteriosclerosis; Constriction, Pathologic; Dicumarol; Ecchymosis; Hematoma; Humans; Male; Middle Aged; Neck; Pharyngeal Diseases; Polycythemia Vera; Tracheal Diseases; Tracheotomy

Topics: Adolescent; Adult; Aged; Dicumarol; Drug Therapy, Combination; Female; Hematoma; Hip; Hip Dislocation; Hip Joint; Humans; Joint Prosthesis; Male; Methylmethacrylates; Middle Aged; Ossification, Heterotopic; Peripheral Nervous System Diseases; Polyethylenes; Postoperative Complications; Prosthesis Design; Statistics as Topic; Surgical Wound Infection; Thrombosis

Topics: Aged; Arteriosclerosis; Diagnosis, Differential; Dicumarol; Gastrointestinal Hemorrhage; Hematoma; Humans; Jejunum; Male; Radiography

Topics: Anticoagulants; Cerebral Hemorrhage; Dicumarol; Drug Antagonism; Hematoma; Hematoma, Subdural; Humans; Middle Aged; Spinal Cord Diseases; Thromboembolism; Time Factors

Topics: Dicumarol; Hematoma; Humans; Ileum; Intestinal Obstruction; Male; Middle Aged

Topics: Adult; Anticoagulants; Dicumarol; Female; Hematoma; Hematuria; Humans; Hydronephrosis; Kidney Diseases; Middle Aged; Retroperitoneal Space; Urography

Topics: Dicumarol; Gastrointestinal Hemorrhage; Hematoma; Humans; Intestinal Obstruction; Male; Mesentery; Middle Aged

Topics: Diagnosis; Dicumarol; Geriatrics; Hematoma; Humans; Intestinal Diseases; Intestine, Small; Intestines; Radiography; Toxicology; Warfarin

Topics: Anticoagulants; Cardiovascular Diseases; Dicumarol; Geriatrics; Hematoma; Hematoma, Epidural, Cranial; Hematoma, Epidural, Spinal; Humans; Muscles; Myelography; Neurologic Manifestations; Pain; Paraplegia; Prothrombin Time; Radiography; Surgical Procedures, Operative; Toxicology

Topics: Cardiac Tamponade; Colonic Neoplasms; Dicumarol; Eye; Female; Gastrointestinal Hemorrhage; Geriatrics; Hematoma; Hemoperitoneum; Hemorrhage; Humans; Ileum; Intestinal Obstruction; Ovarian Follicle; Pulmonary Embolism; Surgical Procedures, Operative; Toxicology

Topics: Coumarins; Dicumarol; Hematoma; Hemorrhage; Humans; Mouth; Oral Hemorrhage