PMID- 24480082
OWN - NLM
STAT- MEDLINE
DCOM- 20141209
LR  - 20220419
IS  - 1444-2892 (Electronic)
IS  - 1443-9506 (Linking)
VI  - 23
IP  - 4
DP  - 2014 Apr
TI  - Spontaneous omental bleeding in the setting of dual anti-platelet therapy with 
      ticagrelor.
PG  - e115-7
LID - S1443-9506(13)01342-5 [pii]
LID - 10.1016/j.hlc.2013.11.002 [doi]
AB  - A 68 year-old man, initially managed with primary percutaneous coronary 
      intervention (PCI) to the right coronary artery (RCA) for an inferior ST 
      elevation myocardial infarction (STEMI) with residual disease requiring coronary 
      artery bypass graft surgery (CABG), re-presented with chest pain. There were no 
      acute ischaemic changes on ECG and his pain settled with nitrates. A day later, 
      he developed left sided abdominal pain and hypovolaemic shock after straining in 
      the toilet. A subsequent computed tomography (CT) scan of his abdomen revealed an 
      omental bleed. He proceeded to emergency laparotomy, recovered well, and was 
      discharged on aspirin and clopidogrel. Apart from dual antiplatelet therapy with 
      aspirin and ticagrelor, and presumed raised intra-abdominal pressure, there were 
      no other identified risk factors for increased bleeding.
CI  - Copyright (c) 2013 Australian and New Zealand Society of Cardiac and Thoracic 
      Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). 
      Published by Elsevier B.V. All rights reserved.
FAU - Cheng, Victoria E
AU  - Cheng VE
AD  - Department of Cardiology, Western Hospital, Gordon Street, Footscray, Melbourne, 
      Australia. Electronic address: victoria.cheng@wh.org.au.
FAU - Oppermen, Anne
AU  - Oppermen A
AD  - Department of Cardiology, Western Hospital, Gordon Street, Footscray, Melbourne, 
      Australia.
FAU - Natarajan, Dinesh
AU  - Natarajan D
AD  - Department of Cardiology, Western Hospital, Gordon Street, Footscray, Melbourne, 
      Australia.
FAU - Haikerwal, Deepak
AU  - Haikerwal D
AD  - Department of Cardiology, Western Hospital, Gordon Street, Footscray, Melbourne, 
      Australia.
FAU - Pereira, Jeremy
AU  - Pereira J
AD  - Department of Cardiology, Western Hospital, Gordon Street, Footscray, Melbourne, 
      Australia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20131126
PL  - Australia
TA  - Heart Lung Circ
JT  - Heart, lung & circulation
JID - 100963739
RN  - 0 (Platelet Aggregation Inhibitors)
RN  - 0 (Purinergic P2Y Receptor Antagonists)
RN  - A74586SNO7 (Clopidogrel)
RN  - GLH0314RVC (Ticagrelor)
RN  - K72T3FS567 (Adenosine)
RN  - OM90ZUW7M1 (Ticlopidine)
RN  - R16CO5Y76E (Aspirin)
SB  - IM
MH  - Adenosine/administration & dosage/adverse effects/*analogs & derivatives
MH  - Aged
MH  - Aspirin
MH  - Clopidogrel
MH  - Gastrointestinal Hemorrhage/*chemically induced/therapy
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/therapy
MH  - Platelet Aggregation Inhibitors/administration & dosage
MH  - Purinergic P2Y Receptor Antagonists/administration & dosage/*adverse effects
MH  - Ticagrelor
MH  - Ticlopidine/administration & dosage/analogs & derivatives
OTO - NOTNLM
OT  - Acute coronary syndrome
OT  - Haemoperitoneum
OT  - Haemorrhage
OT  - Platelet aggregation inhibitors
OT  - Ticagrelor
EDAT- 2014/02/01 06:00
MHDA- 2014/12/15 06:00
CRDT- 2014/02/01 06:00
PHST- 2013/06/01 00:00 [received]
PHST- 2013/10/13 00:00 [revised]
PHST- 2013/11/03 00:00 [accepted]
PHST- 2014/02/01 06:00 [entrez]
PHST- 2014/02/01 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - S1443-9506(13)01342-5 [pii]
AID - 10.1016/j.hlc.2013.11.002 [doi]
PST - ppublish
SO  - Heart Lung Circ. 2014 Apr;23(4):e115-7. doi: 10.1016/j.hlc.2013.11.002. Epub 2013 
      Nov 26.