Extensive retroperitoneal hematoma after laparoscopic appendectomy

Abdullah AlRumaih, Abdulmohsen Alzakari, Ali Alkhaibary, Fahad Alghanim


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.


Appendectomy, Hematoma, Intra-abdominal, Retroperitoneal

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