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Pulmonary Hematoma Secondary to Anticoagulant Therapy

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▸Requests for reprints should be addressed to Anup K. Chakraborty, M.D.; Respiratory Care Unit, Veterans Administration Medical Center; Lincoln, NE 68510.

Veterans Administration Medical Center; Lincoln, Nebraska. National Jewish Hospital; Denver, Colorado.

Ann Intern Med. 1982;96(1):67-69. doi:10.7326/0003-4819-96-1-67
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Pulmonary hemorrhage has been reported as a complication of both warfarin and heparin therapy (1), but this complication is uncommon. We report a patient who presented with hemothorax and pulmonary masses owing to intrapulmonary hematomas associated with uncontrolled anticoagulation.

A 72-year-patient had been receiving warfarin since 1970 after implantation of a Starr-Edwards prosthesis for aortic stenosis. In December 1978 he presented with shortness of breath and pleuritic left chest pain of recent onset. One week before

Figure 1 Left. Admission chest radiograph showing left pleural effusion and a coin lesion in the right lower lobe. Center. After thoracentesis: second lesion at the left base. Right. Follow-up radiograph at 1 year showing progressive resolution of left lower lobe lesion.

hospitalization he had expectorated blood-streaked sputum. He had complained of a poor appetite and weight loss during the previous month. He had a history


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