Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman

Serdar Özdemir; Ertan Sönmez

doi:10.28982/josam.736396

Authors

Serdar Özdemir https://orcid.org/0000-0002-6186-6110
Ertan Sönmez Bezmialem Vakıf University, Faculty of Medicine, Department of Emergency Medicine, İstanbul https://orcid.org/0000-0003-1774-3276

DOI:

https://doi.org/10.28982/josam.736396

Keywords:

Spontaneous Retroperitoneal Hematoma, Retroperitoneal Hematoma, Pregnancy, Pregnant Women

Abstract

Spontaneous retroperitoneal hematomas can cause maternal and fetal complications during pregnancy. A female patient with 10 weeks’ gestation was referred to our clinic with back pain by her gynecologist for retroperitoneal mass excision and termination of pregnancy, due to the retroperitoneal malignancy seen on ultrasonography. MRI revealed a 90x110 mm retroperitoneal hematoma adjacent to the posterior of the left kidney. The patient was followed conservatively for 7 days and discharged without any fatal or maternal complications. We recommend that advanced imaging methods should be preferred in selected cases.

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References

Monib S, Ritchie A, Thabet E. Idiopathic Retroperitoneal Hematoma. J Surg Tech Case Rep. 2011;3(1):49–51.

Mahoney BD. Back Pain. In: Rosen's Emergency Medicine: Concepts and Clinical Practice, 9th Edition, E-Book Elsevier;2017. pp. 278-284.

Demir ME. Asymptomatic retroperitoneal hemorrhage in a hemodialysis patient: a case report. J Health Sci Med. 2020;3(1):80-2.

Özdemir S. A Rare Complication of Anticoagulant Use: Colonic Intramural Hematoma-Case Report. Turk J Colorectal Dis. 2019;29(4):204-5.

Kurdoglu M, Onan MA, Turp A, Kurdoglu Z. Spontaneous iliopsoas haematoma during heparin anticoagulation: cause of fetal loss. J Obstet Gynaecol. 2008;28(5):543-4.

Takebayashi S, Matsui K, Hidai H: Nontraumatic hemorrhage in abdomen and retroperitoneum-CT, sonographic and clinical findings. Nippon Igaku Hoshasen Gakkai Zasshi. 1990;50:1206-14.

Fritz DU. Retrospektive Analyse der computertomographisch gesteuerten Punktionen an einem Kollektiv von 951 Patienten. Universität Würzburg; 2014.

Kasotakis G. Retroperitoneal and rectus sheath hematomas. In: Velmahos G, eds. Acute Care Surgery, An Issue of Surgical Clinics, E-Book Elsevier; 2014. pp. 71-76.