Fatal Retroperitoneal Hematoma in a Patient Receiving Enoxaparin for Bilateral Pulmonary Emboli

Figure 1

CT performed on day 8 showing right-sided rectus sheath and pelvic hematomas. The inferior epigastric artery was measured approximately 25.9 mm below the skin. A standard enoxaparin injection needle at our facility has a length of 15.9 mm. Photo of the needle was adapted from https://tinylittlehuman.wordpress.com/2012/11/02/lovenox/.