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.
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.
Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman
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.
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.
Özdemir, S., & Sönmez, E. (2020). Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman. Journal of Surgery and Medicine, 4(10), 904-905. https://doi.org/10.28982/josam.736396
AMA
Özdemir S, Sönmez E. Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman. J Surg Med. October 2020;4(10):904-905. doi:10.28982/josam.736396
Chicago
Özdemir, Serdar, and Ertan Sönmez. “Spontaneous Retroperitoneal Hematoma Mimicking Retroperitoneal Malignancy in a Pregnant Woman”. Journal of Surgery and Medicine 4, no. 10 (October 2020): 904-5. https://doi.org/10.28982/josam.736396.
EndNote
Özdemir S, Sönmez E (October 1, 2020) Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman. Journal of Surgery and Medicine 4 10 904–905.
IEEE
S. Özdemir and E. Sönmez, “Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman”, J Surg Med, vol. 4, no. 10, pp. 904–905, 2020, doi: 10.28982/josam.736396.
ISNAD
Özdemir, Serdar - Sönmez, Ertan. “Spontaneous Retroperitoneal Hematoma Mimicking Retroperitoneal Malignancy in a Pregnant Woman”. Journal of Surgery and Medicine 4/10 (October 2020), 904-905. https://doi.org/10.28982/josam.736396.
JAMA
Özdemir S, Sönmez E. Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman. J Surg Med. 2020;4:904–905.
MLA
Özdemir, Serdar and Ertan Sönmez. “Spontaneous Retroperitoneal Hematoma Mimicking Retroperitoneal Malignancy in a Pregnant Woman”. Journal of Surgery and Medicine, vol. 4, no. 10, 2020, pp. 904-5, doi:10.28982/josam.736396.
Vancouver
Özdemir S, Sönmez E. Spontaneous retroperitoneal hematoma mimicking retroperitoneal malignancy in a pregnant woman. J Surg Med. 2020;4(10):904-5.