Year 2016 / Volume 108 / Number 12
Case Report
Spontaneous retroperitoneal hematoma in a patient under anticoagulant agents presenting as upper gastrointestinal bleeding

817-818

DOI: 10.17235/reed.2016.3897/2015

Gabriel Carrilero Zaragoza, Juan Egea Valenzuela, María Moya Arnao, María Muñoz Tornero, Roxanna Jijón Crespín, Paula Tomas Pujante, Elena Iglesias Jorquera, Josefa Parra García, Eduardo Sánchez Velasco, Ana Pereñíguez López, Manuel Miras López, Matilde Fuster Quiñonero, Fernando Carballo Álvarez,

Abstract
We present the case of a 44-year-old woman with past history of repeated miscarriage and Budd-Chiari syndrome secondary to primary myelofibrosis. Because of this she was under treatment with oral anticoagulant agents. The patient was admitted in hospital as she presented with gastrointestinal bleeding (melena), asthenia and progressive anemia. In an initial upper endoscopy an extrinsic duodenal compression associated with an ulcer on the posterior face of the first portion of duodenum and upper duodenal knee was observed. In the following days a huge spontaneous retroperitoneal hematoma due to anticoagulation was diagnosed by computed tomography. This was treated with a percutaneous drainage and withdrawal of the antithrombotic drugs. The evolution of the patient was initially satisfactory but she suffered subclavian and jugular vein thrombosis, and reintroduction of anticoagulant agents at the lowest therapeutic doses was required.
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References
1: Naylor RG, Juler GL. Congenital causes of duodenal ulcers in adults. Arc Surg. 1976;111:658-62.
2: Sunga KL, Bellolio MF, Gilmore RM, Cabrera D. Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 2012; 43:e157-61.
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Citation tools
Carrilero Zaragoza G, Egea Valenzuela J, Moya Arnao M, Muñoz Tornero M, Jijón Crespín R, Tomas Pujante P, et all. Spontaneous retroperitoneal hematoma in a patient under anticoagulant agents presenting as upper gastrointestinal bleeding. 3897/2015


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Publication history

Received: 21/06/2015

Accepted: 14/09/2015

Online First: 11/02/2016

Published: 30/11/2016

Article revision time: 46 days

Article Online First time: 235 days

Article editing time: 528 days


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