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Spontaneous retroperitoneal hematoma: a case report

Authors :
Takuma Kurotaki
Naoya Okada
Yasuo Sakurai
Takumi Yamabuki
Minoru Takada
Kentaro Kato
Takeshi Yokoyama
Yoshiyasu Ambo
Yoshihiro Kinoshita
Fumitaka Nakamura
Nobuichi Kashimura
Source :
Journal of Medical Case Reports, Vol 17, Iss 1, Pp 1-6 (2023)
Publication Year :
2023
Publisher :
BMC, 2023.

Abstract

Abstract Background Spontaneous retroperitoneal hematoma is defined as bleeding in the retroperitoneal space without any triggers such as trauma, invasive procedures, and abdominal aortic aneurysm. Case presentation A 48-year-old Japanese man who experienced sudden abdominal pain, severe hypotension, and decreased hemoglobin was diagnosed with spontaneous retroperitoneal hematoma. Contrast-enhanced computed tomography revealed massive left retroperitoneal hematoma; however, neither extravasation nor causative aneurysm was noted. Through conservative management with close monitoring, he was treated and discharged on the tenth hospital day without any morbidity. Conclusions Spontaneous retroperitoneal hematoma treatment comprises conservative management, transcatheter arterial embolization, and surgical intervention. The mortality rate of spontaneous retroperitoneal hematoma is so high that the optimal treatment timing needs to be carefully judged on the basis of detailed evaluation, and management algorithm with clear criteria.

Details

Language :
English
ISSN :
17521947
Volume :
17
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Journal of Medical Case Reports
Publication Type :
Academic Journal
Accession number :
edsdoj.b74fdf049a494fa4b884b90f076b49c1
Document Type :
article
Full Text :
https://doi.org/10.1186/s13256-023-03794-4