© 2002 the Emergency Medicine Journal
CASE REPORT
Retroperitoneal haematoma after paracetamol increased anticoagulation
Accident and Emergency Department, St James's University Hospital, Leeds, UK
Correspondence to:
Correspondence to:
Dr F Andrews, Lecturer in Intensive Care Medicine, Whiston Hospital, Prescot L35 5DR, UK;
fandrews{at}liv.ac.uk
Drugs containing paracetamol are widely used as analgesics but may result in increased anticoagulation in patients who take warfarin, the mechanism being unclear. Retroperitoneal haemorrhage is a serious and well described complication in patients who develop increased anticoagulation; this may result in a femoral neuropathy. Both conservative and surgical treatments have been advocated for this complication.
Keywords: warfarin; paracetamol; retroperitoneal haematoma; femoral neuropathy
Abbreviations: INR; international normalised ratio
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