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Related Experiment Videos

Pelvic hematoma resulting in obstructive uropathy.

Ahmed A Abdulwahab1, Salah Hassan, Lulu Al-Nuaim

  • 1Department of Obstetrics and Gynecology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.

Saudi Medical Journal
|December 4, 2003
PubMed
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Anticoagulant use increases surgical hematoma risk. A rare case shows pelvic hematoma causing obstructive uropathy, treated with ureteric stents.

Area of Science:

  • Urology
  • Cardiology
  • Gynecology

Background:

  • Anticoagulant therapy is frequently prescribed for various indications, including rheumatic heart disease and after aortic valve replacement.
  • Postoperative hematoma formation is a known complication associated with anticoagulant use.
  • Obstructive uropathy is a rare but serious potential complication of extensive pelvic hematomas.

Observation:

  • A patient with a history of rheumatic heart disease and aortic valve replacement developed a massive pelvic hematoma after bilateral tubal ligation.
  • The extensive pelvic hematoma led to bilateral ureteric obstructions, presenting as obstructive uropathy.

Findings:

  • The case highlights the potential for significant pelvic hematoma formation in patients on anticoagulation undergoing gynecological surgery.

Related Experiment Videos

  • Bilateral ureteric obstruction secondary to pelvic hematoma is a rare but critical complication that can arise postoperatively.

    • Implications:

    • This case underscores the importance of vigilant monitoring for hematoma formation in patients on anticoagulants, particularly after extensive surgical procedures.
    • Prompt diagnosis and intervention, such as ureteric stenting, are crucial for managing obstructive uropathy secondary to pelvic hematoma.
    • Consideration of anticoagulation management strategies in the perioperative period for patients undergoing surgery may be warranted to mitigate hematoma risks.