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Spontaneous retroperitoneal hematoma: a case report.

Takuma Kurotaki1, Naoya Okada2, Yasuo Sakurai3

  • 1Department of Surgery, Teine Keijinkai Hospital, 1-29 Maeda, Sapporo, Hokkaido, 006-8555, Japan.

Journal of Medical Case Reports
|February 28, 2023
PubMed
Summary

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Spontaneous retroperitoneal hematoma, bleeding without apparent cause, can be managed conservatively. Prompt diagnosis and careful evaluation are crucial for optimal treatment timing in this high-mortality condition.

Area of Science:

  • Medicine
  • Radiology
  • Emergency Medicine

Background:

  • Spontaneous retroperitoneal hematoma is bleeding in the retroperitoneal space without identifiable triggers like trauma or aneurysm.
  • This condition presents a diagnostic challenge due to its non-specific symptoms.

Observation:

  • A 48-year-old man presented with sudden abdominal pain, hypotension, and decreased hemoglobin.
  • Contrast-enhanced CT identified a massive left retroperitoneal hematoma without extravasation or aneurysm.

Findings:

  • The patient was successfully treated with conservative management, including close monitoring.
  • Discharge occurred on the tenth hospital day with no complications.

Implications:

  • Treatment options include conservative management, transcatheter arterial embolization, and surgery.
Keywords:
AlgorithmConservative managementSpontaneous retroperitoneal hematomaSurgical interventionTranscatheter arterial embolization

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  • Optimal timing for intervention requires careful evaluation and a clear management algorithm due to high mortality.