A case of acute pancreatitis complicated by severe renal insufficiency and haemolytic anaemia secondary to disseminated intravascular coagulation in a woman aged 42 years is described. During treatment with plasma and heparin (intravenously followed by subcutaneously), the clinical condition, laboratory findings and renal histology returned to normal. Despite infusion of plasma, a brief transient fall in the antithrombin-III level was observed during intravenous administration of heparin. On the basis of the course in this case and recent literature, a brief review is given of the possible significance of the route of administration (intravenous or subcutaneous) for the effect of heparin.
|Journal||Ugeskrift for Laeger|
|Number of pages||2|
|Publication status||Published - 1981|