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  • Title: Heparin-induced thrombocytopenia associated with bilateral adrenal hemorrhage after coronary artery bypass surgery.
    Author: Bakaeen FG, Walkes JC, Reardon MJ.
    Journal: Ann Thorac Surg; 2005 Apr; 79(4):1388-90. PubMed ID: 15797086.
    Abstract:
    Heparin-induced thrombocytopenia (HIT) is a well-recognized syndrome associated with thrombosis and multiple potential clinical sequelae. We report a case of bilateral adrenal hemorrhage, a known but rare complication of heparin-induced thrombocytopenia complicating a routine coronary artery bypass surgery. Thrombocytopenia, abdominal pain, and signs of adrenal insufficiency in the context of heparin treatment should raise suspicion of this unusual complication.
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