Öz
Spontan retroperitoneal hematomlar hamilelik sırasında maternal ve fetal komplikasyonlara neden olabilir. 10 haftalık gebeliği olan bir kadın hasta sırt ağrısı ile kliniğimize başvurdu. Hasta jinekoloğu tarafından, ultrasonografide görülen retroperitoneal malignite nedeniyle retroperitoneal kitle eksizyonu ve gebeliğin sonlandırılması için yönlendirilmişti. MRG'de sol böbreğin arka tarafına bitişik 90x110 mm retroperitoneal hematom saptandı. Hasta 7 gün boyunca konservatif olarak takip edildi ve ölümcül veya maternal komplikasyon gelişmeksizin taburcu edildi. Seçilmiş vakalarda gelişmiş görüntüleme yöntemlerinin tercih edilmesini öneririz.
Anahtar Kelimeler
Spontan retroperitoneal hematom Retroperitoneal hematom Gebe Gebelik
Kaynakça
- 1. Monib S, Ritchie A, Thabet E. Idiopathic Retroperitoneal Hematoma. J Surg Tech Case Rep. 2011;3(1):49–51.
- 2. Mahoney BD. Back Pain. In: Rosen's Emergency Medicine: Concepts and Clinical Practice, 9th Edition, E-Book Elsevier;2017. pp. 278-284.
- 3. Demir ME. Asymptomatic retroperitoneal hemorrhage in a hemodialysis patient: a case report. J Health Sci Med. 2020;3(1):80-2.
- 4. Özdemir S. A Rare Complication of Anticoagulant Use: Colonic Intramural Hematoma-Case Report. Turk J Colorectal Dis. 2019;29(4):204-5.
- 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.
- 6. 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.
- 7. Fritz DU. Retrospektive Analyse der computertomographisch gesteuerten Punktionen an einem Kollektiv von 951 Patienten. Universität Würzburg; 2014.
- 8. 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.
Öz
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.
Anahtar Kelimeler
Spontaneous Retroperitoneal Hematoma Retroperitoneal Hematoma Pregnancy Pregnant Women
Kaynakça
- 1. Monib S, Ritchie A, Thabet E. Idiopathic Retroperitoneal Hematoma. J Surg Tech Case Rep. 2011;3(1):49–51.
- 2. Mahoney BD. Back Pain. In: Rosen's Emergency Medicine: Concepts and Clinical Practice, 9th Edition, E-Book Elsevier;2017. pp. 278-284.
- 3. Demir ME. Asymptomatic retroperitoneal hemorrhage in a hemodialysis patient: a case report. J Health Sci Med. 2020;3(1):80-2.
- 4. Özdemir S. A Rare Complication of Anticoagulant Use: Colonic Intramural Hematoma-Case Report. Turk J Colorectal Dis. 2019;29(4):204-5.
- 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.
- 6. 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.
- 7. Fritz DU. Retrospektive Analyse der computertomographisch gesteuerten Punktionen an einem Kollektiv von 951 Patienten. Universität Würzburg; 2014.
- 8. 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Olgu sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ekim 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 4 Sayı: 10 |
