The clinical spectrum of retroperitoneal hematoma in anticoagulated patients.
Bleeding into the retroperitoneal space is a serious complication of anticoagulation. The incidence may be on the rise due to the increasing number of patients prescribed anticoagulants for atrial fibrillation and other disorders. The clinical manifestations vary from leg paresis to abdominal pain or a catastrophic shock. Thus, an adequate index of suspicion is needed to reverse anticoagulation rapidly and initiate other therapeutic measures. We reviewed the cases diagnosed at our institution and reported in the literature to delineate the clinical manifestations and course of this process.
González
Camilo
C
Intensive Care Unit, Hospital U.M. Valdecilla, University of Cantabria, Santander, Spain.
Penado
Susana
S
Llata
Laurenano
L
Valero
Carmen
C
Riancho
José A
JA
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000188:drug therapy; D005260:Female; D006406:Hematoma / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants