title: A late retroperitoneal hematoma mimicking acute appendicitis--an unusual complication of coronary angioplasty.
abstract: Peripheral vascular complications following coronary angiography and angioplasty are well established. They consist of arterial bleeding, occlusion, false aneurysm, and a-v fistula. Bleeding and thrombosis are usually evident within the twelve hours after the procedure. A case of acute right lower quadrant abdominal pain five days following thrombolytic therapy and percutaneous transluminal coronary angioplasty is presented. A computerized tomography was compatible with a periappendiceal inflammation, and the patient underwent laparotomy. A large retroperitoneal hematoma was the only positive finding on operation. A late complication of coronary angioplasty, such as retroperitoneal hematoma, presenting as an acute abdomen, should be a part of the differential diagnosis in such cases.
authors.affiliation: Department of Medicine, Hadassah University Medical Center, Jerusalem, Israel.
authors.forename: Y S
authors.initials: YS
authors.lastname: Haviv
authors.forename: M
authors.initials: M
authors.lastname: Nahir
authors.forename: A
authors.initials: A
authors.lastname: Pikarski
authors.forename: E
authors.initials: E
authors.lastname: Shiloni
authors.forename: R
authors.initials: R
authors.lastname: Safadi
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001062:Appendectomy; D001064:Appendicitis; D003937:Diagnosis, Differential; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012187:Retroperitoneal Space