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Cho, Kim, Kim, Cho, and Song: A case of spontaneous retroperitoneal hemamtoma in pregnant woman
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(4): 205-209.

Published online: 30 April 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.4.205

A case of spontaneous retroperitoneal hemamtoma in pregnant woman

Sang Son Cho, MD, Yoon Ha Kim, MD, Jong Woon Kim, MD, Hye Yon Cho, MD, Tae-Bok Song, MD

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author: Yoon Ha Kim, MD, PhD. Department of Obstetrics and Gynecology, Chonnam National University Medical School, 8 Hak-dong, Dong-gu, Gwangju 501-757, Korea. Tel: +82-62-220-6372, Fax: +82-62-227-1637, kimyh@chonnam.ac.kr

Received 14 February 2011       Revised 22 March 2011       Accepted 1 April 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous retroperitoneal hematoma in pregnant woman is extremely rare entity which has not been reported. Although this condition can lead to lethal situation, there is no definite diagnostic tool and treatment for patients with retroperitoneal hematoma. We present a case of spontaneous retroperitoneal hematoma in a pregnant woman who recovered without any operation or intervention.

Keywords: Retroperitoneum, Hematoma, Pregnant woman

Figures and Tables

Fig. 1
(A, B) Abdominal CT: There is a large amount hematoma (triangles) in Retroperitoneal space (mainly right side) which compresses the inferior vena cava (IVC) (arrow: IVC is collapsed).
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Fig. 2
(A) Inferior vena cavography. (B) Low abdominal aortography. (C-F) Internal iliac artery angiography & vein venography. (A-F) There is no extravasation or aneurysm in vessels.
kjog-54-205-g002
Fig. 3
(A) Ultrasonography at 14 days of hospital treatment. (B) At 28 days of hospital treatment. More decreased size of retroperitoneal hematoma.
kjog-54-205-g003
Fig. 4
During performing cesarean section, we could not find any lesion like hematoma.
kjog-54-205-g004

References

1. Chan YC, Morales JP, Reidy JF, Taylor PR. Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery? Int J Clin Pract. 2008. 62:1604–1613.
2. Panetta T, Sclafani SJ, Goldstein AS, Phillips TF, Shaftan GW. Percutaneous transcatheter embolization for massive bleeding from pelvic fractures. J Trauma. 1985. 25:1021–1029.
3. Illescas FF, Baker ME, McCann R, Cohan RH, Silverman PM, Dunnick NR. CT evaluation of retroperitoneal hemorrhage associated with femoral arteriography. AJR Am J Roentgenol. 1986. 146:1289–1292.
4. Sclafani SJ, Florence LO, Phillips TF, Scalea TM, Glanz S, Goldstein AS, et al. Lumbar arterial injury: radiologic diagnosis and management. Radiology. 1987. 165:709–714.
5. McCort JJ. Intraperitoneal and retroperitoneal hemorrhage. Radiol Clin North Am. 1976. 14:391–405.
6. Heim M, Horoszowski H, Seligsohn U, Martinowitz U, Strauss S. Ilio-psoas hematoma--its detection, and treatment with special reference to hemophilia. Arch Orthop Trauma Surg. 1982. 99:195–197.
7. Daliakopoulos SI, Bairaktaris A, Papadimitriou D, Pappas P. Gigantic retroperitoneal hematoma as a complication of anticoagulation therapy with heparin in therapeutic doses: a case report. J Med Case Reports. 2008. 2:162.
8. Bhasin HK, Dana CL. Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients. Nephron. 1978. 22:322–327.
9. Fernandez-Palazzi F, Hernandez SR, De Bosch NB, De Saez AR. Hematomas within the iliopsoas muscles in hemophilic patients: the Latin American experience. Clin Orthop Relat Res. 1996. (328):19–24.
10. Teratogenecity of radiation [Internet]. Dobong Hospital. c2011. cited 2011 Feb 10. Seoul(KR): Dobong Hospital;Available from: http://www.dbh.cc.
11. Teratogenecity of radiation [Internet]. Chacares. c2002-2004. cited 2011 Feb 10. Seoul (KR): Cha medical center;Available from; http://www.Chamc.co.kr/health/guide.
12. Medical dictionary [Internet]. Ultravist injection 300. c2011. cited 2011 Mar 14. Songnam (KR): NHN Corp;Available from; http://medic.naver.com/pharm_detail.php?uid=A11A2680A0094.
13. Jiang J, Ding X, Zhang G, Su Q, Wang Z, Hu S. Spontaneous retroperitoneal hematoma associated with iliac vein rupture. J Vasc Surg. 2010. 52:1278–1282.
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