A late retroperitoneal hematoma mimicking acute appendicitis--an unusual complication of coronary angioplasty.
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.
Haviv
Y S
YS
Department of Medicine, Hadassah University Medical Center, Jerusalem, Israel.
Nahir
M
M
Pikarski
A
A
Shiloni
E
E
Safadi
R
R
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