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[Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment]
Violeta Menéndez López1, Juan Antonio Galán Llopis, Carlos Carro Rubias
1Servicio de Urología, Hospital General Universitario de Elche, Universidad Miguel Hernández, Elche, Alicante, España. violetamenendez@wanadoo.es
Objectives:
To report a case of perivesical hematoma without previous trauma in a patient under anticoagulant treatment.
Methods:
A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort. Abdominal ultrasound showed a big perivesical hematoma.
Results:
CT scan confirmed the presence of a big hematoma. The hematoma was drained five days later after an optimal coagulation profile. Patient was discharged with normal ultrasound after an uneventful postoperative course.
Conclusions:
Spontaneous bleeding in patients with coagulation abnormalities is a well-known event, although there are few bibliographic references about primary perivesical blood collections. We opted for deferred drainage of the hematoma to avoid perivesical fibrosis.