Surgically Evacuated Spontaneous Retroperitoneal Hematoma—A Case Report—
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- KUJIRAI Dai
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- MATSUMOTO Kenji
- Department of Surgery, Saiseikai Utsunomiya Hospital
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- SHINOZAKI Hiroharu
- Department of Surgery, Saiseikai Utsunomiya Hospital
Bibliographic Information
- Other Title
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- 腹部コンパートメント症候群をきたし血腫除去を行った特発性後腹膜血腫の1例
- フクブ コンパートメント ショウコウグン オ キタシ ケッシュ ジョキョ オ オコナッタ トクハツセイ アトバラマク ケッシュ ノ 1レイ
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Abstract
<p>Spontaneous retroperitoneal hematoma (SRH) is a rare complication of antithrombotic therapy and is not related to trauma, medical procedures, or abdominal aortic aneurysm. We describe a patient with abdominal compartment syndrome due to SRH that required surgical evacuation of the hematoma. A 41-year-old man was referred to our hospital with abdominal pain and hypovolemic shock. Abdominal computed tomography revealed a large retroperitoneal hematoma in the right retroperitoneal region. After resuscitation and transcatheter angioembolization, intensive care was provided. However, the in-tra-abdominal pressure and serum creatinine levels did not improve. We performed surgical evacuation of the hematoma on day 10 of hospitalization. The postoperative course was uneventful, and the patient was discharged on hospital day 37. Surgical evacuation is an effective procedure that should be considered in patients with abdominal compartment syndrome due to SRH.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 83 (3), 575-579, 2022
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390293589392299136
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 032096189
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed