A CASE OF RETROPERITONEAL HEMATOMA CAUSED BY ARTERIAL PUNCTURE IN THE INSERTION OF A CENTRAL VENOUS CATHETER IN THE INGUINAL REGION

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  • ISHIDA Keiichi
    Department of General Surgery, Graduate School of Medicine, Chiba University
  • IMAMAKI Mizuho
    Department of General Surgery, Graduate School of Medicine, Chiba University
  • ISHIDA Atsushi
    Department of General Surgery, Graduate School of Medicine, Chiba University
  • MIYAZAKI Masaru
    Department of General Surgery, Graduate School of Medicine, Chiba University

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  • 鼠径部中心静脈カテーテル挿入操作により後腹膜血腫を合併した１例

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We report a case of retroperitoneal hematoma caused by arterial puncture in the insertion of a central venous catheter in the inguinal region. A woman in her seventy with anorexia and weight loss admitted to a previous hospital suffered from a punctured artery when a central venous catheter was inserted in the right inguinal region. That night, she reported right lower abdominal pain and anemia. On day 3 after the arterial puncture, anemia recurred. CT showed retroperitoneal hematoma. The patient was transferred to our hospital for surgery. Postoperatively, anemia did not recur. Retroperitoneal hematoma is a rare complication of catheterization. CT and abdominal echography are useful in making a diagnosis. A patient with retroperitoneal hematoma who suffers recurrent anemia requires surgical hemostasis.

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