Gigantic retroperitoneal hematoma as a complication of anticoagulation therapy with heparin in therapeutic doses: a case report

Daliakopoulos, Stavros I; Bairaktaris, Andreas; Papadimitriou, Dimitris; Pappas, P.

doi:10.1186/1752-1947-2-162

Cited by 41 publications

(28 citation statements)

References 24 publications

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“…Local or systemic conditions impacting the retroperitoneal organs or blood vessels can result in spontaneous retroperitoneal hemorrhage. Examples of such conditions include benign or malignant tumors of the kidney or adrenal gland (Brodey et al, 1982;Tappe et al, 1997), hemangioma (González-Valverde et al, 2007), vascular malformation, thrombosis, pancreatitis or pancreatic cancer, the use of anticoagulants and antiplatelet drugs (Melde, 2003;Otrock et al, 2006;Daliakopoulos et al, 2008), hemophilia, and leukemia (Vayá et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

Fan

Deng

Liu

et al. 2012

J. Zhejiang Univ. Sci. B

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Abstract:In this paper, we described the symptoms and treatment of a patient with diabetic nephropathy accompanied by spontaneous retroperitoneal hemorrhage after hemodialysis. An elderly female patient with diabetic nephropathy presented with severe pain, numbness, and an increasing swelling in the left hip and left thigh after six sessions of hemodialysis involving the use of an antiplatelet drug and an anticoagulant agent. Her hemoglobin decreased to 46 g/L. An abdominal ultrasound showed a hematoma in the left retroperitoneal space, and computed tomography (CT) findings revealed a 6 cm×8 cm×10 cm hematoma in the left psoas muscle. After aggressive supportive therapy [the administration of packed red blood cell transfusion, carbazochrome sodium sulfonate injection, and continuous venovenous hemofiltration (CVVH)], the patient's vital signs stabilized and her hemoglobin increased to 86 g/L. Repeat CT showed that the hematoma had been partially absorbed after two weeks. Eventually, the patient was discharged with stable vital signs. Physicians should be aware of the possibility of spontaneous retroperitoneal hemorrhage, particularly in patients with diabetic nephropathy undergoing hemodialysis involving the use of anticoagulant agents.

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Section: Introductionmentioning

confidence: 99%

Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

Fan

Deng

Liu

et al. 2012

J. Zhejiang Univ. Sci. B

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“…Spontaneous retroperitoneal hemorrhage could present as a rare lifethreatening emergency with sudden onset of massive bleeding [9]. Flank and back pain, hematuria, hypotension and shock are the clinical features.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Kidney Bleed after Acute Coronary Syndrome Treatment

Tatari¹

2017

BJSTR

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Spontaneous kidney bleed is a rare condition. Renal tumors are the most common cause of bleeding whereas anticoagulant and antiplatelet therapy are some of the less common causes. We present a case of a 72 year old male patient with acute coronary syndrome (ACS), who developed massive painless hematuria after ACS treatment. He was found to have spontaneous right pelvicaliceal bleed by computed tomography (CT). The patient was successfully treated conservatively.

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“…Clinically, can be shown as clear visible ridges beside the incisive papilla even as a fistula that extends itself from the mouth to the nasal cavity. Through the catheterization maneuver of the persistent and total or part latent nasopalatine duct, with gutta-percha cone and periapical radiography, it allows the visualization of the lumen passage [9][10]. Besides, it can cause displacement and adjacent structures, expansion of the cortical vestibular bone and palatine, swelling of the incisive foramen and upper displacement of the nasal cavity floor [2,6,11].…”

Section: Introductionmentioning

confidence: 99%