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Hematoma from Clexane injection

Intra-Abdominal Hematoma following Enoxaparin Injectio

About 1 in 1000 people who has enoxaparin will have bleed-ing from brain and retroperitoneal bleeding, which could be fatal.3 Anterior abdominal wall hematoma or retroperitoneal hematoma is an uncommon complication of subcutaneous injection of enoxaparin, although it is a documented compli Subchorionic Hematoma and on Clexane: Hi... just wondering if anyone has been on Clexane and had a SCH? I went to hospital on Tuesday night as I had a massive bleed and was convinced I had miscarried (despite seeing heartbeat earlier that afternoon). I was so shocked to see baby's heartbeat again. I'm 7 weeks and have been told to stop Clexane (I wasn't on it for blood clotting.

Injection route (Solution) Epidural or spinal hematomas, which may result in long-term or permanent paralysis, may occur in patients who are anticoagulated with low molecular weight heparins or heparinoids and are receiving neuraxial anesthesia or undergoing spinal puncture An extensive review of the literature revealed no similar cases of abdominal wall hematomas associated with enoxaparin although other complications, including spinal and epidural hematomas, psoas hematomas, and skin necrosis have been reported We speculate that in our patient, deep injection of enoxaparin into the abdominal wall injured the inferior epigastric artery, which started the hematoma, and the bleeding was exacerbated by the anticoagulation effect of the enoxaparin. Another form of pelvic hematoma is retro-peritoneal

If a Clexane injection has gone well you will go straight in and out without any pain or pressure and the small hole in your skin will heal within a few minutes. On the other hand if a Clexane injection was tough or went wrong for some reason you may find yourself with a hematoma, bleeding, pain, and the entry hole quite large compared to normal Intraoperative findings revealed a liquefied hematoma in the subcutaneous plane above the level of the rectus fascia. No active bleeding was present. Twelve liters of liquefied hematoma was evacuated in the subcutaneous plane I noticed today that I have a bruise that has formed on my stomach where I do my Lovenox injections. I normally have been getting little tiny bruise at the injection site, but this is larger. I noticed there is a lump or a hematoma or something that is way under the skin under where the bruise is Putting pressure on a site that has been injected with a blood thinner will not encourage the blood to clot faster and will likely make a bigger bruise or a hematoma. Do not use a band-aid or a bandage on the injection site. Just wait patiently for it to stop bleeding (if it bleeds at all)

Clexane (Enoxaparin) Injection - Uses, Dose, Side effects, MOA, Brands. 185. Clexane (Enoxaparin) is an irreversible inhibitor of factor Xa. It binds to circulating antithrombin III and potentiates its effects. It is used in the treatment and prevention of deep vein thrombosis and pulmonary embolism Hematoma of rectus sheath following subcutaneous enoxaparin injection Anticoagulation drugs are frequently used to prevent deep vein thrombosis in high-risk patients. Subcutaneous low molecular weight heparin (LMWH) is increasingly used in both hospitalized patients and outpatient settings Epidural Hematoma Associated with Enoxaparin. Departments of Anesthesia (Hynson, Katz) and Orthopaedic Surgery, University of California, San Francisco/Mount Zion, San Francisco, California (Bueff). Accepted for publication January 12, 1996. Address correspondence to James M. Hynson, MD, Department of Anesthesia, UCSF/Mount Zion, 1600. The following information relates to adverse events observed in controlled clinical trials with patients given Clexane prophylaxis of deep vein thrombosis following orthopaedic or abdominal surgery in patients at risk for thromboembolic complications (n = 1176), prophylaxis of deep vein thrombosis in acutely ill medical patients with severely. Irritation, pain, burning, redness, skin discoloration or bruising, or a hematoma at the site of injection. Major bleeding at any site (including in the brain or abdomen) is a risk with enoxaparin use, although the overall reported incidence is low

5. Ain RJ, Vance MB. Epidural hematoma after epidural steroid injection in a patient withholding enoxaparin per guidelines. Anesthesiology. 2005; 102:701 - 703. 6. Litz RJ, Gottschlich B, Stehr SN. Spinal epidural hematoma after spinal anesthesia in a patient treated with clopidogrel and enoxaparin. Anesthesiology. 2004; 101:1467 - 1470. 7 Guidelines to Prevent Neuraxial Hematoma after Epidural/Intrathecal/Spinal Injections and Perineural Hematoma following Peripheral Nerve procedures, excluding Chronic Pain Procedures ONLY * enoxaparin (Lovenox) 40mg SQ QDay * enoxaparin (Lovenox) 30mg SQ Q12H or 40mg SQ Q12

Enoxaparin is a low molecular weight heparin used for prophylaxis against deep venous thrombosis (DVT). The advantages of low molecular weight heparins compared with unfragmented low-dose heparin are the higher and more predictable bioavailability after subcutaneous injection, a longer biologic half-life, and reduced influence on platelet function and lipolysis. [ We present a case of a patient with renal insufficiency in whom an epidural hematoma developed after an epidural steroid injection while enoxaparin was withheld per guidelines. An 85-yr-old woman referred to the Anesthesia Pain Clinic for epidural steroid injection (ESI) There have been numerous reports of rectus sheath hematoma development secondary to accidental injection of intramuscular tissue or the inferior epigastric artery with enoxaparin [9, 10]. This patient's rectus sheath hematoma was not present on initial CT imaging performed in the ED but became apparent on CT imaging 8 days after initiation of.

Rectus sheath hematoma (RSH) is considered an uncommon bleeding complication that can occur spontaneously, after trauma, or as a result of anticoagulation therapy. Cases of RSH associated with subcutaneous LMWH injection have been reported [ 3 - 7 ] The manufacturer of Lovenox, Sanofi-Aventis submitted to FDA 170 cases of spinal or epidural hematoma associated with Lovenox thromboprophylaxis and neuraxial anesthesia (spinal or epidural) or.. There was a small previous injection site near the center of the hematoma. A computed tomographic scan of the abdomen performed three hours later showed a 21 × 14 × 8 cm hematoma expanding in the.. Ans: Yes, Clexane 80 MG Injection is used in the treatment of chest pain and heart attack once the standard treatment has been provided to the patient. It is given along with another blood thinner like aspirin. Being a blood-thinning agent, it prevents the blood from clotting and prevents any further episodes and complications

Rectus sheath hematoma (RSH) is a potentially life-threat-enting bleeding complication which may result from several causes, including anticoagulation therapy. This paper reports five cases of RSH (one fatal) probably induced by subcuta-neous enoxaparin that were confirmed by abdominal ultra-sounds and/or computerized tomographic (CT) scans in What Is Lovenox? Lovenox (enoxaparin sodium) Injection is an anticoagulant (blood thinner) used to prevent blood clots that are sometimes called deep vein thrombosis (), which can lead to blood clots in the lungs.A DVT can occur after certain types of surgery, or in people who are bed-ridden due to a prolonged illness. Lovenox is also used to prevent blood vessel complications in people with. Lovenox® (enoxaparin sodium injection) Prescribing Information. sanofi-aventis, Bridgewater, NJ. ENOXACAN Study Group. Efficacy and safety of enoxaparin versus unfractionated heparin for prevention of deep vein thrombosis in elective cancer surgery: a double-blind randomized multicentre trial with venographic assessment

A FATAL CASE OF RECTUS SHEATH HEMATOMA SECONDARY TO ENOXAPARIN INJECTION. INTRODUCTION: Low molecular weight heparin (LMWH) demonstrates comparable efficacy to unfractionated heparin, but is a first-line option for thromboprophylaxis due to decreased risks of major bleeding & heparin-induced thrombocytopenia. [1 Other reported cases of bleeding secondary to LMWH injection are as follows: A 76-year-old woman died of rectus sheath hematoma following the administration of enoxaparin subcutaneously into the abdominal wall in hospital. 4 She had been receiving enoxaparin 6000 IU twice daily and warfarin 5 mg daily for atrial fibrillation

Subchorionic Hematoma and on Clexane - Assisted Conception

One of my hematoma from a Clexane injection - CC Bobski606 Treatment For Small Or Moderate Intramuscular Hematoma If the hematoma is caused by extreme exercise and is caught quickly then the patient can start treatment immediately and reduce their risk of surgery using the RICE procedure One of my hematoma from a Clexane injection - CC Bobski606. How Does The Body Deal With An Injury? The human body is a wonderful thing that is able to react incredibly quickly to trauma. As soon as a blood vessel is ruptured the body sends off a signal to the blood clotting factors which move in to plug up the break in the vessel wall. Once the.

Clexane Side Effects: Common, Severe, Long Term - Drugs

  1. al waist vs the rear face of the arm). Dependent variables. The appearance of ecchymosis and/or haematoma in the injection zone 12, 24, 48 and 72 h after the ad
  2. Dr. Richard Zimon answered. 59 years experience Internal Medicine. Apply Heat: Heat will increase the circulation and speed up resolution of the hematoma. PS Applying ice after the injection may reduce the hematoma itself
  3. g following hospital procedures or illness. Clexane is also used to treat DVT and heart problems including unstable angina and heart attack when taken with aspirin. Clexane is used to stop blood clots for
  4. The use of Clexane with simultaneous epidural anesthesia can lead to the formation of a hematoma in the space of the spinal cord. Freezing pregnancy on Clexane is not a consequence of treatment with this drug, and may indicate only the presence of other factors that could lead to complications
  5. istration includes ad
  6. ally, in conjunction with warfarin use. The authors caution that in thin or elderly patients, or in those on concomitant anticoagulation or antiplatelet agents, the deltoid region might be a safer injection site.

Purpose. A case of fatal retroperitoneal hematoma that developed after enoxaparin administration in a woman with paroxysmal atrial flutter and chest pain is reported. Summary. A 63-year-old, 74-kg. routine care for subcutaneous injection of Enoxaparin, while the study group received a cryotherapy treatment before and after adminis- tration of Enoxaparin subcutaneously for 5 minutes, and the pain was measured immediately, but the hematoma was measured after 48 to 72 hours. 10 x10 cm Cold Packs applied to the stud Rectus sheath hematoma (RSH) may be caused by the rupture of epigastric arteries or the rectus muscle itself within the rectus sheath. 1 It is a relatively rare clinical condition which accounts for less than 2% of patients with acute abdominal pain. 2 Risk factors for RSH include anticoagulation therapy (ACT), stage ≥3 chronic kidney disease. Ans: Yes, Clexane 40 MG Injection is used in the treatment of chest pain and heart attack once the standard treatment has been provided to the patient. It is given along with another blood thinner like aspirin. Being a blood-thinning agent, it prevents the blood from clotting and prevents any further episodes and complications

Enoxaparin associated with hugh abdominal wall hematomas

A case of large subchorionic hematoma complicated by intrauterine growth retardation and oligohydramnios diagnosed at 32 weeks' gestation with twin pregnancy after ICSI is reported below. The patient was on clexane injection during pregnancy for mitral valve replacement lovenox. Other than the reasons she's already ruled out I have no idea. I did bleed for 5 weeks in the beginning of my pregnancy extremely bad due to a subchorionic hematoma. They didn't see the hematoma at 5 or 6 weeks but caught it at 7 weeks. My daughter is 3 now. Read More. Hello everyone Lovenox (enoxaparin sodium injection) for subcutaneous and intravenous use Initial U.S. Approval: 1993 WARNING: SPINAL/EPIDURAL HEMATOMA See full prescribing information for complete boxed warning. • Enoxaparin use in patients undergoing spinal/epidural anesthesia or spinal puncture increases the risk of spinal or epidural hematoma Rectus sheath hematoma is a well-recognized complication of anticoagulant therapy. Anticoagulation can be a predisposing factor, or it can directly cause rectus sheath hematoma by accidental intramuscular injection of LMWHs. Heparin-induced immune microangiopathy has been proposed as a mechanism of the pathogenetic process

Enoxaparin is a widely used low-molecular-weight heparin for perioperative thromboembolic prophylaxis. Enoxaparin-induced skin necrosis in the setting of arthroplasty has been rarely reported in the literature with varying outcomes and management decisions. Our patient developed skin necrosis at his injection site and thrombocytopenia 10 days. Clexane Injection is used for Acute deep vein thrombosis, Deep vein thrombosis, Ischemic complications of unstable chest pain, Non-q-wave myocardial infarction, Acute st-segment elevation myocardial infarction and other conditions.Clexane Injectionmay also be used for purposes not listed in this medication guide On average, a retroperitoneal hematoma occurs within 5 days of therapy with enoxaparin. In high-risk patients, enoxaparin activity (anti-factor Xa) should be carefully monitored. REFERENCE Enoxaparin Sodium Injection is indicated for the prophylaxis of ischemic complications of unstable angina and non-Q-wave myocardial infarction, when concurrently administered with aspirin. 1.4 Treatment of Acute ST-Segment Elevation Myocardial Infarction Enoxaparin Sodium Injection, when administered concurrently with aspirin, has been shown to. Enoxaparin may have resulted in increased bleeding complications and use of blood products in patients with renal insufficiency. Prospective studies need to be conducted to define the drug's role and dosage adjustments in these patients. (Pharmacotherapy 2000;20(7):771-775) Use of enoxaparin has increased tremendousl

Lovenox (enoxaparin sodium injection), for subcutaneous and intravenous use Initial U.S. Approval: 1993 WARNING: SPINAL/EPIDURAL HEMATOMA S See full prescribing information for complete boxed warning. Epidural or spinal hematomas may occur in patients who are anticoagulated with low molecular weight heparins (LMWH) o Our obtained results of mean bruise size based on sodium Enoxaparin subcutaneous injection showed that the mean bruise sizes at 24 and 48 h after 10-sec injection duration were 33.26 and 48.9 mm 2, respectively, while these values were 15.61 and 52.84 mm 2, respectively, after 30-sec injection Enoxaparin (Lovenox) 40 mg SQ daily ≥ 12 hours May be maintained with once daily dosing, without administration of any other antihemostatic drugs 4 hours Enoxaparin (Lovenox) 30 mg SQ q12h ≥ 12 hours 4 hours Enoxaparin (Lovenox) 1.5 mg/kg SQ daily or 1 mg/kg SQ q12h ≥ 24 hours 4 hours Fondaparinux (Arixtra) 36-42 hours CONTRAINDICATED 6 hour Enoxaparin Sodium Injection, USP is indicated for the prophylaxis of ischemic complications of unstable angina and non-Q-wave myocardial infarction, when concurrently administered with aspirin. 1.4 Treatment of Acute ST-Segment Elevation Myocardial Infarctio

Keywords: enoxaparin, coronavirus, COVID-19, thromboembolism, induced thrombosis inflammation. Citation: Drago F, Gozzo L, Li L, Stella A and Cosmi B (2020) Use of Enoxaparin to Counteract COVID-19 Infection and Reduce Thromboembolic Venous Complications: A Review of the Current Evidence. Front. Pharmacol. 11:579886. doi: 10.3389/fphar.2020.57988

A complication of enoxaparin injection Cleveland Clinic

Do Clexane Injections Leave A Mark? - HubPage

Prophylaxis of ischemic complication. in UA/NSTEMI Age range from 25 to 94 years (median age 64 years) Treatment of acute STEMI Hospitalized within 6 hours of onset. See more details about. all indications >. A generic identical to Lovenox Learn about the authorized generic of Lovenox—Enoxaparin Sodium Injection. from Winthrop Ain RJ, Vance MB: Epidural hematoma after epidural steroid injection in a patient withholding enoxaparin per guidelines. Anesthesiology 2005;102:701-703. Buvanendran A, Young A: Spinal epidural hematoma after spinal cord stimulator trial lead placement in a patient taking aspirin. Reg Anesth Pain Med 2014;39:70-72

Enoxaparin sodium is an anticoagulant used to treat pulmonary embolism, blood clotting disorders, and deep vein thrombosis (DVT) — a condition in which blood clots form in veins located deep. Accidental overdosage following administration of Enoxaparin may lead to hemorrhagic complications. Injected Enoxaparin may be largely neutralized by the slow i.v. injection of protamine sulfate (1% solution) The dose of protamine sulfate should be equal to the dose of Enoxaparin injected: 1 mg protamine sulfate should be administered to.

In this paper, the authors present a case in which the current American Society for Regional Anesthesia and Pain Medicine guidelines were strictly followed with respect to withholding and reintroducing warfarin and enoxaparin after an epidural steroid injection, but the patient nevertheless developed a spinal epidural hematoma requiring. Title: Subcutaneous Injection Techniques of Anticoagulant Therapies Author: Leah Morissette Keywords: Anticoagulant; Bruising; Enoxaparin; Hematoma; Heparin. Enoxaparin is a common low-molecular-weight heparin (LMWH) used in the prevention and management of various thromboembolic disorders. Initially approved by the FDA in 1993, it is administered by a subcutaneous or intravenous injection and marketed by several pharmaceutical companies. 10 Enoxaparin markedly reduces the incidence of venous. Composition. ENCLEX 40 . Graduated prefilled syringes of 40 mg/0.4 ml. ENCLEX 60 . Graduated prefilled syringes of 60 mg/0.6 ml. ENCLEX contain 10 mg enoxaparin sodium (approximate anti-Factor Xa activity of 1000 IU ) per 0.1 mL Water for Injection.. Dosage Form. Pre-filled syringe

Rectus sheath hematoma is a collection of blood in the sheath of rectus abdominis muscle due to an injury of one of the epigastric vessels or the muscle itself. It is a rare condition that could be caused by the use of anticoagulant injections. We report a 60-year-old lady who received enoxaparin injection on the lower abdomen Enoxaparin is a type of low molecular weight heparin (LMWHs) with a mean molecular weight of 4000 to 5000. It has an immediate onset of action when given in the intravenous form. It binds to and potentiates antithrombin III, a serine protease inhibitor, to form a complex that irreversibly inactivates factor Xa. [4 Low-molecular weight heparin (LMWH) (e.g., enoxaparin [Lovenox[R]]) is used widely to reduce patients' risk of harmful clot formation. It has several potential advantages: reliable anticoagulant effect, lower incidence of heparin-induced thrombocytopenia, and a simple subcutaneous administration that permit short-term and long-term treatment (Palese, Aidone, Dante, & Pea, 2013)

CLEXANE solution for injection 100 mg/1 ml; CLEXANE solution for injection 120 mg/0.8 ml; CLEXANE solution for injection 150 mg/1 ml; CLEXANE solution for injection 20 mg/0.2 ml; CLEXANE solution for injection 300 mg/3 ml; CLEXANE solution for injection 40 mg/0.4 ml; CLEXANE solution for injection 60 mg/0.6 ml; CLEXANE solution for injection 80. The site of the procedure should be observed for signs of bleeding or hematoma formation. Pregnant women with mechanical prosthetic heart valves The use of Clexane® Injection for thromboprophylaxis in pregnant women with mechanical prosthetic heart valves has not been adequately studied hematoma formation at the injection site can consequently limit the availability of that site for future injections and cause physiological discomfort to the patient (Kuzu & Ucar, 2001). Pain and bruising can also cause anxiety, disruption of body image, and patient rejection of subsequent injections (Avsar & Kasikci, 2013)

The SCAI often causes pain and hematoma at the injection site . The effect of subcutaneous injection duration on bruising due to Clexane (Enoxaparin) injection in patients with ACS hospitalized in CCU and Post CCU wards in Vali-e Asrhospital of Fasain 2014. Int J Med Res Health Sci, 5 (11) (2016), pp. 580-583 Minor complications, including injection site bruising, wound hematomas, drain site bleeding, and hematuria, were significantly more common than major complications, such as GI tract or RP bleeding. Changes in care in the form of discontinuation of pharmacologic prophylaxis and subsequent operation occurred in 2.0% and 0.7% of patients. nausea or vomiting. nervousness. numbness or tingling in the hands, feet, or lips. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. redness of the skin. skin rash. unusual tiredness or weakness. weakness or heaviness of the legs. Some side effects may occur that usually do not need medical attention the air bubble acts as a kind of 'plug' to stop the clexane rising back up into the tissue above the sudcutaneous fat, therefore, hopefully preventing bruising. The air shouldn't be injected first. treacletart is good on this as well - if I see her on the Due in Aug thread I'll send her over here Enoxaparin side effects. Enoxaparin injectable solution may cause pain or bruising of the skin at the site of the injection. This may be more likely when you first start taking the drug, or when.

Massive Spontaneous Hematoma from Chronic Enoxaparin

  1. A hematoma occurs when blood leaks from a large blood vessel. In this article, learn about the causes and symptoms of hematomas as well as the different types and when to see a doctor
  2. Clexane ® Syringes 10,000 IU (100 mg)/1 ml solution for injection in pre-filled syringes. 2. Qualitative and quantitative composition. 2,000 IU (20 mg) /0.2 ml. Each pre-filled syringe contains enoxaparin sodium 2,000 IU anti-Xa activity (equivalent to 20 mg) in 0.2 ml water for injections. 4,000 IU (40 mg) /0.4 ml
  3. A hematoma in the pectoral muscle is rarely encountered in the literature. Kocer et al. (13) presented cases of spontaneous intrapectoral bleeding. Armstrong et al. (14) reported a pectoral muscle hematoma during the prophylaxis of deep vein thrombosis in a case injured by thoracic trauma
  4. istered with aspirin). Clexane 60 MG Injection is used for thinning your blood and preventing the formation of clots. It is generally used if you are recuperating at home after a stomach, knee or.
  5. Clexane Injection is used for Acute st-segment elevation myocardial infarction, Deep vein thrombosis, Acute deep vein thrombosis, Ischemic complications of unstable chest pain, Non-q-wave myocardial infarction and other conditions.Clexane Injectionmay also be used for purposes not listed in this medication guide
  6. One of the less recognised complications of subcutaneous injection of any unfractionated or low molecular weight heparin is necrosis of the skin and subcutaneous tissues. This is reputedly less common with the unfractionated heparins. We present a case of fat necrosis following the use of enoxaparin (Clexane) in venous thromboprophylaxis
  7. Lovenox® (enoxaparin sodium injection) for subcutaneous and intravenous use . Initial U.S. Approval: 1993 . WARNING: SPINAL/EPIDURAL HEMATOMA . full prescribing information for complete boxed warning. • Enoxaparin use in patients undergoing spinal/epidural epidural hematoma, which may cause long-term or permanent paralysis (5.5) • Risk is.
Clexane Injections Dosage, Administration, Uses, Side Effects

Hematoma or lump with Lovenox??? DailyStrengt

  1. istration may lead to haemorrhagic complications. Following oral ad
  2. Lumbar epidural steroid injection, without stopping her current medications, was planned and was performed under fluoroscopic guidance uneventfully. Two weeks later, because there was no improvement in the pain, a second epidural steroid injection was performed, along with bilateral L3-L4, L4-L5, and L5-S1 facet steroid injections under.
  3. Return to Article Details Hematoma of Rectus Sheath Following Subcutaneous Enoxaparin Injection Download Download PDF Hematoma of Rectus Sheath Following Subcutaneous.
  4. Clexane Injection is used for Blood clots in blood vessels, Heart attack, Chest pain, Kidney failure patients undergoing dialysis and other conditions.Clexane Injectionmay also be used for purposes not listed in this medication guide. Clexane Injectioncontains Enoxaparin as an active ingredient. Clexane Injectionworks by inhibiting the.
  5. al surgery, or hip or knee replacement surgeries, and in patients with reduced mobility. Common side effects of Lovenox include bleeding, fever, nausea, diarrhea, fluid retention, abnormal liver tests in the blood, and injection site pain. Consult your doctor before taking Lovenox if pregnant or.

Tips to Decrease Bruising with Lovenox, Arixtra, Clexane

enoxaparin Anti Coagulant (low molecular weight heparin LMW) Give in the abdomen 2 inches away for the belly button do NOT rub injection site for 1-2 mins Rotate injection sites. Antiplatelet agents (increase risk for bleeding) Pregnancy Category B Low platelet count Hemorrhage Neurologic damage from hematoma formed during spinal or. Consumers with the affected units of Enoxaparin Sodium Injection, USP, please contact Inmar Rx Solutions (Inmar) at 1-855-667-8717, to receive a recall/return packet including the Recall. This necessitates familiarity of both health care providers and patients with such treatment and vigilance on possible complications. Here we present a case of hematoma of rectus sheath that occurred following subcutaneous injection of enoxaparin and was successfully treated with conservative managemen Topics: Complications.

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WARNING: SPINAL/EPIDURAL HEMATOMA See full prescribing information for complete boxed warning. • Enoxaparin use in patients undergoing spinal/epidural anesthesia or spinal puncture increases the risk of spinal or epidural hematoma, which may cause long-term or permanent paralysis (5.5) • Do not use as intramuscular injection Is enoxaparin injection from abdominal wall safe in elderly people?: a fatal case of rectus sheath hematoma. Can Fam Physician 2008;54(9):1246-8. Sun PL, Lee YC, Chiu KC. Retroperitoneal hemorrhage caused by enoxaparin-induced spontaneous lumbar artery bleeding and treated by transcatheter arterial embolization: a case report. Cases J 2009;2:9375 LOVENOX® injection is indicated for the prophylaxis of deep vein thrombosis, which may lead to pulmonary embolism: •in patients undergoing abdominal surgery who are at risk for thromboembolic complications •in patients undergoing hip-replacement surgery, during and following hospitalization •in patients undergoing knee-replacement surger Pharmaceutical Injection Prominent & Leading Wholesale Trader from Lucknow, we offer clexane 40mg/0.4ml enoxaparin injection, clexane 60mg/0.6ml enoxaparin injection, lmwx-40 enoxaparin sodium injection 40mg/0.4ml and lmwx-60 enoxaparin sodium injection 60mg/0.6ml