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Spontaneous Retroperitoneal Bleeding in a Patient with Primary Antiphospholipid Syndrome on Aspirin
Joint Authors
Ioannou, Petros
Alexakis, George
Source
Case Reports in Emergency Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-06
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Retroperitoneal bleeding is a rare and difficult to diagnose condition, defined as bleeding in the retroperitoneal space without associated trauma or iatrogenic manipulation.
It has been associated with hematologic diseases and malignancies and is more common in patients receiving systemic anticoagulation.
A 50-year-old man on aspirin presented with abdominal pain.
Physical examination revealed abdominal tenderness and a palpable mass at the left abdominal area.
An abdominal CT revealed a spontaneous retroperitoneal hematoma due to bleeding of an intraparenchymal branch of the left renal artery.
The patient underwent left nephrectomy in order to control the bleeding.
Pathology of the kidney showed evidence of acute and chronic microangiopathy, renal artery stenosis, and renal vein thrombosis.
Further work-up led to diagnosis of primary antiphospholipid syndrome.
Treatment of spontaneous retroperitoneal bleeding varies from conservative in hemodynamically stable patients to invasive or even surgery in hemodynamically unstable patients.
In our case, open surgery was performed due to the rapidly deteriorating patient’s condition and the inability to embolize the bleeding vessel by interventional radiology.
Physicians should always think of retroperitoneal bleeding in patients presenting with abdominal pain and signs of hypovolemia, especially if they have a bleeding disorder or receive anticoagulants or antiplatelets.
American Psychological Association (APA)
Ioannou, Petros& Alexakis, George. 2018. Spontaneous Retroperitoneal Bleeding in a Patient with Primary Antiphospholipid Syndrome on Aspirin. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143187
Modern Language Association (MLA)
Ioannou, Petros& Alexakis, George. Spontaneous Retroperitoneal Bleeding in a Patient with Primary Antiphospholipid Syndrome on Aspirin. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1143187
American Medical Association (AMA)
Ioannou, Petros& Alexakis, George. Spontaneous Retroperitoneal Bleeding in a Patient with Primary Antiphospholipid Syndrome on Aspirin. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143187
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143187