DOI: http://dx.doi.org/10.18203/2349-2902.isj20184097

Extensive retroperitoneal hematoma after laparoscopic appendectomy

Abdullah AlRumaih, Abdulmohsen Alzakari, Ali Alkhaibary, Fahad Alghanim

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.


Keywords


Appendectomy, Hematoma, Intra-abdominal, Retroperitoneal

Full Text:

PDF

References


Daly KP, Ho CP, Persson DL, Gay SB. Traumatic retroperitoneal injuries: review of multidetector CT findings. Radiographics. 2008;28(6):1571-90.

Weil PH. Management of retroperitoneal trauma. Curr Probl Surg. 1983;20(9):539-620.

Feliciano DV. Management of traumatic retroperitoneal hematoma. Ann Surg. 1990;211(2):109.

Hemat RA. Traumatic Retroperitoneal Hematoma Principles of modern urology. Urotext. 1998;426-31.

Vo NG, Hall FM. Severe postappendectomy bleeding. Am Surg. 1983;49(10):560-2.

Christensen JG, Achiam MP. Retroperitoneal haematoma as a complication at the beginning of a laparoscopic operation. Ugeskr Laeger. 2015;177(2A):98-9.

Socea B, Carȃp A, Bobic S, Constantin VD. Psychological barriers in long term non-operative treatment of retroperitoneal hematoma. J Mind Med Sci. 2015;2(1):67-71.

Abe T, Kai M, Miyoshi O, Nagaie T. Idiopathic retroperitoneal hematoma. Case Rep Gastroenterol. 2010;4(3):318-22.

Henao F, Aldrete JS. Retroperitoneal hematomas of traumatic origin. Surg Gynecol Obstet. 1985;161(2):106-16.

Abdulhussein BJ, Hussein YF, Nawar AH. Pattern of presentation of retroperitoneal hematoma among sample of Iraqi patients attending surgery clinic of a teaching hospital. Surg Sci. 2015;6(05):208.

Ylmaz S, Ören H, Irken G, Atabay B, Duman M, Ylmaz E, et al. Life-threatening mediastinal-retroperitoneal hemorrhage in a child with moderate hemophilia A and high inhibitor titer: successful management with recombinant activated factor VII. J Pediatr Hematol Oncol. 2005;27(7):400-2.