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Open Access 01-12-2023 | Magnetic Resonance Imaging | Case report

Spontaneous retroperitoneal hematoma: a case report

Authors: Takuma Kurotaki, Naoya Okada, Yasuo Sakurai, Takumi Yamabuki, Minoru Takada, Kentaro Kato, Takeshi Yokoyama, Yoshiyasu Ambo, Yoshihiro Kinoshita, Fumitaka Nakamura, Nobuichi Kashimura

Published in: Journal of Medical Case Reports | Issue 1/2023

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.

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Title: Spontaneous retroperitoneal hematoma: a case report
Authors: Takuma Kurotaki
Naoya Okada
Yasuo Sakurai
Takumi Yamabuki
Minoru Takada
Kentaro Kato
Takeshi Yokoyama
Yoshiyasu Ambo
Yoshihiro Kinoshita
Fumitaka Nakamura
Nobuichi Kashimura
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Computed Tomography
Computed Tomography
Aneurysm
Hematoma
Aneurysm
Published in: Journal of Medical Case Reports / Issue 1/2023
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-023-03794-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Spontaneous retroperitoneal hematoma: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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