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Abstract
Two cases of large, warfarin-induced hematomas are discussed. In both cases, coagulopathy due to uncontrolled use of warfarin was the reason of hematoma.
Conclusion: Repeated radiological studies are needed to diagnose and evaluate a warfarin-induced hematoma. Normalization of blood clotting system is an important part of the treatment. Prior to the correction of the coagulogram, in the absence of absolute indications for surgery, surgical intervention should be avoided, since at this time bleeding can be fatal for the patient. It is noteworthy, that the presence of leukocytosis does not confirm hematoma infection. In the case of a giant hematoma, if necessary, two-stage treatment can be used. The first stage includes conservative measures to maintain hemostasis and achieve normal coagulation, as well as preparing the patient for surgery. The second stage is surgery to eliminate the hematoma.