Heparin-induced Thrombocytopenia with Associated Thrombosis Causing Multiple Thromboses with Aortic Occlusion: Report of a Case

A 44-year-old woman with deep vein thrombosis caused by intrapelvic peritonitis associated with adenomyosis uteri was administered unfractionated heparin. The platelet count gradually decreased, and computed tomography scan revealed abdominal aortic occlusion from the origin of the left renal artery to the intrapelvic arteries, left renal infarction, pulmonary embolism, and deep vein thrombosis. Heparin was replaced by argatroban and a successful aortobifemoral bypass was performed.

Keywords: Heparin induced thrombocytopenia, Multiple thromboses