Spontaneous retroperitoneal hematoma: a case report
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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03794-4 |
| _version_ | 1797864653216284672 |
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| author | Takuma Kurotaki Naoya Okada Yasuo Sakurai Takumi Yamabuki Minoru Takada Kentaro Kato Takeshi Yokoyama Yoshiyasu Ambo Yoshihiro Kinoshita Fumitaka Nakamura Nobuichi Kashimura |
| author_facet | Takuma Kurotaki Naoya Okada Yasuo Sakurai Takumi Yamabuki Minoru Takada Kentaro Kato Takeshi Yokoyama Yoshiyasu Ambo Yoshihiro Kinoshita Fumitaka Nakamura Nobuichi Kashimura |
| author_sort | Takuma Kurotaki |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T22:55:22Z |
| format | Article |
| id | doaj.art-b74fdf049a494fa4b884b90f076b49c1 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-09T22:55:22Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-b74fdf049a494fa4b884b90f076b49c12023-03-22T11:19:39ZengBMCJournal of Medical Case Reports1752-19472023-02-011711610.1186/s13256-023-03794-4Spontaneous retroperitoneal hematoma: a case reportTakuma Kurotaki0Naoya Okada1Yasuo Sakurai2Takumi Yamabuki3Minoru Takada4Kentaro Kato5Takeshi Yokoyama6Yoshiyasu Ambo7Yoshihiro Kinoshita8Fumitaka Nakamura9Nobuichi Kashimura10Department of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Medical Radiation Technology, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Anesthesiology, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalDepartment of Surgery, Teine Keijinkai HospitalAbstract 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.https://doi.org/10.1186/s13256-023-03794-4Spontaneous retroperitoneal hematomaConservative managementTranscatheter arterial embolizationSurgical interventionAlgorithm |
| spellingShingle | Takuma Kurotaki Naoya Okada Yasuo Sakurai Takumi Yamabuki Minoru Takada Kentaro Kato Takeshi Yokoyama Yoshiyasu Ambo Yoshihiro Kinoshita Fumitaka Nakamura Nobuichi Kashimura Spontaneous retroperitoneal hematoma: a case report Journal of Medical Case Reports Spontaneous retroperitoneal hematoma Conservative management Transcatheter arterial embolization Surgical intervention Algorithm |
| title | Spontaneous retroperitoneal hematoma: a case report |
| title_full | Spontaneous retroperitoneal hematoma: a case report |
| title_fullStr | Spontaneous retroperitoneal hematoma: a case report |
| title_full_unstemmed | Spontaneous retroperitoneal hematoma: a case report |
| title_short | Spontaneous retroperitoneal hematoma: a case report |
| title_sort | spontaneous retroperitoneal hematoma a case report |
| topic | Spontaneous retroperitoneal hematoma Conservative management Transcatheter arterial embolization Surgical intervention Algorithm |
| url | https://doi.org/10.1186/s13256-023-03794-4 |
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