Warfarin-induced spontaneous retroperitoneal hemorrhage from the renal vein : a rare case with an uncommon etiology
المؤلفون المشاركون
Nasr, Muhammad A.
Khalaf Allah, Husam
Kumar, Vajjala R.
Pathan, Samir A.
المصدر
العدد
المجلد 2019، العدد 1 (30 يونيو/حزيران 2019)، ص ص. 1-5، 5ص.
الناشر
تاريخ النشر
2019-06-30
دولة النشر
قطر
عدد الصفحات
5
التخصصات الرئيسية
الموضوعات
الملخص EN
The overall rate of major bleeding in patients with atrial fibrillation receiving warfarin therapy is approximately 4%.
Among these 4% patients, spontaneous retroperitoneal hemorrhage (SRH) is a rare but potentially lethal complication with a nonspecific presentation that can lead to missed or delayed diagnosis.
The current literature provides little direction for diagnosis and management of such cases.
Anticoagulation-related SRH is associated with a high mortality rate (approximately 20%).
Despite the vague presentation, prompt diagnosis is crucial to reverse the anticoagulation and prevent further bleeding.
Contrast-enhanced computed tomography (CT) of the abdomen is the imaging modality of choice in suspected cases.
Patients with SRH require aggressive treatment with blood transfusions, interventional radiological procedures, percutaneous drainage or surgical evacuation of the hematoma.
We report a case of warfarin-induced SRH from the renal vein in a patient who presented to our emergency department with acute, nonspecific abdominal pain and shock.
We diagnosed the patient with warfarin-induced SRH on the basis of clinical suspicion and characteristic CT findings.
We initially treated the patient conservatively, followed by embolization of the right renal artery during the late course of hospital stay, and he was discharged with good recovery.
SRH should be considered in the differential diagnosis of abdominal pain, hypotension, and/or decreased hemoglobin levels in patients receiving anticoagulation therapy, especially in those with preexisting end-stage renal disease.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Nasr, Muhammad A.& Khalaf Allah, Husam& Kumar, Vajjala R.& Pathan, Samir A.. 2019. Warfarin-induced spontaneous retroperitoneal hemorrhage from the renal vein : a rare case with an uncommon etiology. Qatar Medical Journal،Vol. 2019, no. 1, pp.1-5.
https://search.emarefa.net/detail/BIM-891725
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Nasr, Muhammad A.…[et al.]. Warfarin-induced spontaneous retroperitoneal hemorrhage from the renal vein : a rare case with an uncommon etiology. Qatar Medical Journal No. 1 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-891725
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Nasr, Muhammad A.& Khalaf Allah, Husam& Kumar, Vajjala R.& Pathan, Samir A.. Warfarin-induced spontaneous retroperitoneal hemorrhage from the renal vein : a rare case with an uncommon etiology. Qatar Medical Journal. 2019. Vol. 2019, no. 1, pp.1-5.
https://search.emarefa.net/detail/BIM-891725
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 4-5
رقم السجل
BIM-891725
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر