SPONTANEOUS RETROPERITONEAL HEMATOMA ASSOCIATED WITH ANTITHROMBOTIC TREATMENT FOR ACUTE MYOCARDIAL INFARCTION
| Autor: | C. Giulea, A. Miron, Alice David, Mihaela Roxana Popescu, Andreea C. Popescu, D. Dimulescu |
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| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Journal of Surgical Sciences. 2:152-155 |
| ISSN: | 2457-5364 2360-3038 |
| DOI: | 10.33695/jss.v2i3.127 |
| Popis: | Retroperitoneal spontaneous hematoma is a serious condition, sometimes fatal. It occurs in association with anticoagulant therapy, unrelated to any trauma, surgery, invasive procedures or aortic aneurysm.A 68-year-old male patient is admitted for a non ST elevation myocardial infarction. He has a history of ischemic dilated cardiomyopathy with severe systolic dysfunction and atrial fibrillation. He is started on double antiplatelet therapy, anticoagulation, statin, beta blocker, ACE, and iv diuretic. Eight days later he suffers a syncope and the clinical examination reveals a large tender abdominal mass. The computed tomography examination shows a massive retroperitoneal hematoma. Although the antiplatelet and anticoagulant therapy is discontinued, the volume resuscitation (with crystalloids and packed red blood cells) is initiated and vasoconstrictor drugs are used, his condition continues to deteriorate. He is taken to the operation room for emergency laparotomy and the hematoma is evacuated. Although his clinical status improved and he remained hemodinamically stable, he suffers a cardiac arrest 27 days later and the resuscitation maneuvers are unsuccessful. |
| Databáze: | OpenAIRE |
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