Extensive retroperitoneal hematoma after laparoscopic appendectomy

Authors

  • Abdullah AlRumaih Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  • Abdulmohsen Alzakari Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia
  • Ali Alkhaibary College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  • Fahad Alghanim College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20184097

Keywords:

Appendectomy, Hematoma, Intra-abdominal, Retroperitoneal

Abstract

The retroperitoneum is the abdominal portion located behind the sac of the peritoneal cavity and extending from the diaphragm to the pelvic inlet. A Retroperitoneal hematoma is a rare but a fearsome complication after appendectomy. The management of retroperitoneal hematomas can be difficult as the decision between a surgical intervention, angiographic embolization, and conservative management with fluids can be difficult to make. This case report would be outlining the clinical presentation, radiological findings, and outcome of a 60-year-old male who has been diagnosed with an intra-abdominal, retroperitoneal hematoma and flank ecchymosis with no signs of active bleeding after laparoscopic appendectomy. Retroperitoneal hematomas can be extensive post-laparoscopic abdominal surgeries. A comprehensive physical examination, radiological imaging, and laboratory investigations should be considered to rule out the possibilities of bleeding disorders and/or active bleeding contributing to the development of retroperitoneal hematomas.

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Published

2018-09-25

Issue

Section

Case Reports