Spontaneously resolved gigantic retroperitoneal haematoma following oophorectomy: A case report in a cardiac patient on anticoagulant therapy | ||||
| Egyptian Journal of Anaesthesia | ||||
| Volume 31, Issue 3, July 2015, Page 247-249 PDF (780.6 K) | ||||
| DOI: 10.1016/j.egja.2015.04.003 | ||||
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| Author | ||||
| Núbia Campos Faria Isoni | ||||
| Abstract | ||||
| Introduction Retroperitoneal haemorrhage is a clinical entity that can present as a rare life-threatening event, causing significant morbidity and representing a diagnostic challenge. Case presentation We report the case of a patient with double mitral and aortic valve replacement on oral anticoagulant who presented with retroperitoneal haematoma after left oophorectomy for ruptured huge ovarian cyst which was treated conservatively. Conclusion Delay in diagnosis is potentially fatal and high clinical suspicion remains crucial. Finally, it is a matter of controversy whether retroperitoneal haematomas should be surgically evacuated or conservatively treated and the final decision should be made after taking into consideration patient’s general condition and the possibility of permanent femoral or sciatic neuropathy due to compression syndrome. | ||||
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