A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery

Low-molecular-weight heparin has multiple advantages of high bioavailability, long half-life, few side effects and convenient use, which has been widely applied in the prevention of lower limb venous thrombosis after gynecologic tumor surgery. However, in clinical practice, partial patients present...

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Main Author: Li Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng
Format: Article
Language:zho
Published: Editorial Office of Journal of New Medicine 2022-02-01
Series:Xin yixue
Subjects:
Online Access:https://www.xinyixue.cn/fileup/0253-9802/PDF/1646274212743-1820668707.pdf
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author Li Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng
author_facet Li Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng
author_sort Li Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng
collection DOAJ
description Low-molecular-weight heparin has multiple advantages of high bioavailability, long half-life, few side effects and convenient use, which has been widely applied in the prevention of lower limb venous thrombosis after gynecologic tumor surgery. However, in clinical practice, partial patients present with subcutaneous ecchymosis induced by drug use. Most of them can regress spontaneously after terminating drug use. In this article, a 49-year-old female patient, who was diagnosed with cervical cancer, developed severe skin necrosis and secondary sinus formation caused by use of low-molecular-weight heparin after cervical cancer surgery. She was diagnosed with cervical cancer(IB3 FIGO stage G2), and treated with enoxaparin sodium injection for 14 d because of deep venous thrombosis of the lower limbs. At 1 month after withdrawal of drug use, she presented with plaque mass in the lower abdomen. The possibility of skin necrosis was considered, which was cured by the ostomyist for 7 months. This case prompts that the risk of skin necrosis should be considered during use of enoxaparin.
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spelling doaj.art-b8c70411ba564d1b9d2fe13c3640adcf2022-12-22T03:45:44ZzhoEditorial Office of Journal of New MedicineXin yixue0253-98022022-02-0153214915210.3969/j.issn.0253-9802.2022.02.015A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgeryLi Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng0Center for Women and Children, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, ChinaLow-molecular-weight heparin has multiple advantages of high bioavailability, long half-life, few side effects and convenient use, which has been widely applied in the prevention of lower limb venous thrombosis after gynecologic tumor surgery. However, in clinical practice, partial patients present with subcutaneous ecchymosis induced by drug use. Most of them can regress spontaneously after terminating drug use. In this article, a 49-year-old female patient, who was diagnosed with cervical cancer, developed severe skin necrosis and secondary sinus formation caused by use of low-molecular-weight heparin after cervical cancer surgery. She was diagnosed with cervical cancer(IB3 FIGO stage G2), and treated with enoxaparin sodium injection for 14 d because of deep venous thrombosis of the lower limbs. At 1 month after withdrawal of drug use, she presented with plaque mass in the lower abdomen. The possibility of skin necrosis was considered, which was cured by the ostomyist for 7 months. This case prompts that the risk of skin necrosis should be considered during use of enoxaparin.https://www.xinyixue.cn/fileup/0253-9802/PDF/1646274212743-1820668707.pdf|low-molecular-weight heparin|enoxaparin|skin necrosis|cervical cancer|low limb venous thrombosis|post-operation
spellingShingle Li Sijin, He Zeyang, Li Haiying, Wang Xiaojun, Zhou Ying, Li Daocheng
A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
Xin yixue
|low-molecular-weight heparin|enoxaparin|skin necrosis|cervical cancer|low limb venous thrombosis|post-operation
title A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
title_full A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
title_fullStr A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
title_full_unstemmed A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
title_short A case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
title_sort case of delayed skin necrosis caused by enoxaparin anticoagulation after cervical cancer surgery
topic |low-molecular-weight heparin|enoxaparin|skin necrosis|cervical cancer|low limb venous thrombosis|post-operation
url https://www.xinyixue.cn/fileup/0253-9802/PDF/1646274212743-1820668707.pdf
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