Retroperitoneal hemorrhage caused by enoxaparin-induced spontaneous lumbar artery bleeding and treated by transcatheter arterial embolization: a case report

Sun, Po-Lin; Lee, Yu-Chang; Chiu, Kuan-Chi

doi:10.1186/1757-1626-2-9375

Cited by 16 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dari berbagai laporan kasus kejadian IPH, pembuluh darah yang sering mengalami ruptur adalah a. lumbar, a. gastrik inferior, dan cabang a. femoralis. [7][8][9][10][11] Pasien mendapatkan terapi resusitasi cairan kristaloid dan koloid, serta tranfusi red packed cell, namun kondisi pasien tidak membaik. Tindakan bedah belum dilakukan karena belum dapat menemukan lokasi pasti sumber perdarahan.…”

Section: Diskusiunclassified

Perdarahan Iliopsoas Pada Pasien Covid-19 Dalam Terapi Antikoagulan

Priyana

2021

ebers papyrus

View full text Add to dashboard Cite

Background: Giving anticoagulants to Covid-19 patients is included in one of the standard protocols for Covid-19 therapy. The focus on anticoagulation to prevent thrombotic events often creates a “double-edged sword” with the risk of bleeding, which is also potentially fatal. We present a rare but fatal case of iliopsoas hemorrhage.Case: A Covid-19 patient, 70 years old male, received anticoagulant therapy with unfractionated heparin instead of enoxaparine (LMWH) due to high D-dimer. As the D-dimer value improves, massive and continuous left iliopsoas hemorrhage appears which causes hemodynamic disturbances. Fluid resuscitation, vasopressors, and transfusions were administered following a CT scan of the abdomen. Follow-up CT angiography could not locate the source of the bleeding. Surgery or percutaneous intervention cannot be performed. The patient eventually died.Conclusion: The incidence of bleeding on anticoagulant therapy is low, especially iliopsoas bleeding. Given the massive anticoagulant therapy in almost all Covid-19 patients, as well as the pathogenesis of Covid-19 that interferes with vascular conditions and the coagulation system, the incidence of bleeding risk may increase. This needs to be a concern and anticipation of comprehensive management.

show abstract

Section: Diskusiunclassified

Perdarahan Iliopsoas Pada Pasien Covid-19 Dalam Terapi Antikoagulan

Priyana

2021

ebers papyrus

View full text Add to dashboard Cite

show abstract

“…Palabras clave: Espontáneo, Hematoma retroperitoneal, Linfoma de Burkitt. la región del muslo, cadera y flancos (1)(2)(3)(4)(5)(6) . Dada su baja incidencia y manifestaciones clí-nicas inespecíficas, el diagnóstico clínico de HRE habitualmente es muy difícil.…”

Section: Introductionunclassified

“…Se ha descrito irradiación del dolor hacia H e m a t o m a r e t r o p e r i t o n e a l d e c a u s a i n f r e c u e n t e : A propósito de un caso Drs. Daniel Álvarez G (1) , Giancarlo Schiappacasse F (2) , Marcelo Castro S (3) , Jeannie Slater M (4) . Retroperitoneal hematoma of unusual cause: A case report Abstract: The spontaneous retroperitoneal hematoma (SRH) is defined as a spontaneous hematic collection located in any of the retroperitoneal compartments.…”

Section: Introductionmentioning

confidence: 99%

Hematoma retroperitoneal de causa infrecuente: A propósito de un caso

G¹,

et al. 2012

Rev. chil. radiol.

View full text Add to dashboard Cite

IntroducciónEl hematoma retroperitoneal espontáneo (HRE) corresponde a una colección hemática situada en cualquiera de los 3 compartimentos retroperitoneales: pararrenal anterior, perirrenal y pararrenal posterior. Se produce sin que exista traumatismo, manipulación endourológica o endovascular previa de los elementos del retroperitoneo (1) . En la literatura no se han descrito diferencias entre el HRE y la hemorragia retroperitoneal espontánea, por lo que se las considerará sinónimos para fines de esta revisión. Es un cuadro clínico de difícil diagnóstico, que inicialmente puede ser oligosintomático (1) , sin embargo, su detección oportuna es fundamental, ya que el retraso diagnóstico determina una alta morbi-mortalidad.La etiología más frecuente de hematoma retroperitoneal espontáneo es la rotura de un aneurisma de la aorta abdominal. Otras causas de menor frecuencia son: hemorragias espontáneas de tumores renales o suprarrenales, otros tumores sólidos retroperitoneales, terapia anticoagulante, discrasias sanguíneas y patología litiásica de la vía urinaria, entre otros (1,2) . Además, se describe asociación con hipertensión arterial y arterioloesclerosis (3) . La presentación clínica del HRE se caracteriza por masa abdominal palpable, dolor lumboabdominal, hipotensión y caída del hematocrito (1,3) . Las caracterís-ticas e intensidad del dolor son variables y dependen, entre otros factores, de la localización y magnitud del hematoma. Se ha descrito irradiación del dolor hacia Retroperitoneal hematoma of unusual cause: A case report Abstract: The spontaneous retroperitoneal hematoma (SRH) is defined as a spontaneous hematic collection located in any of the retroperitoneal compartments. The most frequently encountered cause of retroperitoneal hemorrhage is a ruptured abdominal aortic aneurysm, followed by renal and adrenal tumors, along with some other less common causes. Performing accurate diagnosis of patients at admission has proven to be difficult, given that the clinical presentation is ample and variable and may mimic other pictures of abdominal or lower back pain. Imaging techniques, mainly angiography, computed tomography, and MR Imaging, represent a fundamental tool for both timely diagnosis and proper management of the condition. We report the case of a 56-year-old male patient with diagnosis of HIV, who presented with a history of abdominal pain and palpable abdominal mass. After a thorough imaging evaluation, patient was diagnosed with retroperitoneal hematoma, whose histological analysis revealed a Burkitt lymphoma.H e m a t o m a r e t r o p e r i t o n e a l d e c a u s a i n f r e c u e n t e

show abstract

Retroperitoneum

Weitzel¹,

Güsgen²

2019

Notfälle in Der Allgemein- Und Viszeralchirurgie

View full text Add to dashboard Cite

Retroperitoneal hemorrhage caused by enoxaparin-induced spontaneous lumbar artery bleeding and treated by transcatheter arterial embolization: a case report

Cited by 16 publications

References 10 publications

Perdarahan Iliopsoas Pada Pasien Covid-19 Dalam Terapi Antikoagulan

Perdarahan Iliopsoas Pada Pasien Covid-19 Dalam Terapi Antikoagulan

Hematoma retroperitoneal de causa infrecuente: A propósito de un caso

Retroperitoneum

Contact Info

Product

Resources

About