Abstract
Spontaneous retroperitoneal hematoma is a rare condition. We report a 78 year-old man with progressive pain in his right thigh and hip lasting one week. The pain subsequently was associated with abdominal pain in the right lower quadrant. Physical examination revealed pain to deep palpation of the area, associated with a diffuse positive rebound pain. An abdominal and pelvis CT scan showed an extensive mesenteric hematoma. During surgery, a large retroperitoneal encapsulated hematoma, without evidence of active bleeding, was found and drained. Pathology confirmed the diagnosis and was negative for cancer.
Highlights
Spontaneous retroperitoneal hematoma is a rare condition
No presentaba antecedentes de trauma abdominal ni otras enfermedades asociadas
La intervención y la biopsia aclararon el diagnóstico definitivo de hematoma retroperitoneal espontáneo (HRE) y, si bien, se presentó una fístula estercorácea posoperatoria, probablemente consecuencia de la disección del colon derecho al liberar el hematoma, ésta fue manejada en forma conservadora, con éxito
Summary
Spontaneous retroperitoneal hematoma is a rare condition. We report a 78 year-old man with progressive pain in his right thigh and hip lasting one week. El hematoma retroperitoneal espontáneo (HRE) es una enfermedad rara, que se define como el hematoma del retroperitoneo o del mesenterio que ocurre sin historia reciente de trauma, tratamiento anticoagulante o enfermedad vascular[1,2,3]. Ingresó a la Unidad de Emergencia del HEMATOMA RETROPERITONEAL ESPONTÁNEO - C Alvarez et al Complejo Asistencial Barros Luco (CABL) con historia de una semana de evolución, caracterizada por dolor en muslo y cadera derecha, progresivo en intensidad.
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