phenprocoumon and Cough

Topics: Acenocoumarol; Adult; Aged; Aged, 80 and over; Anticoagulants; Antitussive Agents; Cough; Drug Interactions; Female; Hemorrhage; Humans; International Normalized Ratio; Male; Middle Aged; Netherlands; Nonprescription Drugs; Noscapine; Phenprocoumon; Thromboembolism

Topics: Adult; Anticoagulants; Bronchitis; Carotid Artery, Internal; Constriction, Pathologic; Cough; Drug Administration Schedule; Headache; Humans; Intracranial Aneurysm; Intracranial Arteriovenous Malformations; Magnetic Resonance Imaging; Male; Music; Nadroparin; Phenprocoumon; Posterior Cerebral Artery

We report the case of a 83-year-old female patient with ST elevation myocardial infarction who developed a rectus sheath hematoma during treatment with antiplatelet medication and systemic anticoagulants following cough attacks. The patient presented with progressive pain in the left lower abdomen associated with a palpable mass and anaemia. Abdominal sonography and computed tomography revealed a rectus sheath hematoma. We discuss pathogenesis, clinical findings, diagnostic workup and therapy. Moreover, we review the current related literature.

Topics: Abdomen, Acute; Aged, 80 and over; Anticoagulants; Aspirin; Atrial Fibrillation; Clopidogrel; Colonic Pseudo-Obstruction; Comorbidity; Cough; Dalteparin; Diagnosis, Differential; Dose-Response Relationship, Drug; Drug Therapy, Combination; Female; Hematoma; Humans; Intracranial Embolism; Phenprocoumon; Rectus Abdominis; Ticlopidine

Topics: Aged, 80 and over; Airway Obstruction; Anticoagulants; Atrial Fibrillation; Cough; Deglutition Disorders; Drug Overdose; Hematoma; Humans; Male; Neck; Phenprocoumon; Prothrombin Time; Skin Diseases; Venous Insufficiency