title: Pelvic hematoma resulting in obstructive uropathy.
abstract: The use of anticoagulants, for whatever indication, may carry a high risk of hematoma formation following surgery. Obstructive uropathy is a very rare but possible example of complication secondary to an extensive pelvic hematoma. We describe a case of a patient with rheumatic heart disease and aortic valve replacement, who developed a massive postoperative pelvic hematoma following bilateral tubal ligation, resulting in bilateral ureteric obstructions. This was treated with bilateral ureteric stent through cystoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Abdulwahab
authors.forename: Salah
authors.initials: S
authors.lastname: Hassan
authors.forename: Lulu
authors.initials: L
authors.lastname: Al-Nuaim
authors.forename: Rabie
authors.initials: R
authors.lastname: Abdel Halim
mesh_terms: D000328:Adult; D005260:Female; D006350:Heart Valve Prosthesis; D006406:Hematoma / Q000150:complications* / Q000628:therapy; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000150:complications* / Q000628:therapy; D011183:Postoperative Complications; D012214:Rheumatic Heart Disease / Q000150:complications; D013246:Sterilization, Tubal; D014517:Ureteral Obstruction / Q000150:complications* / Q000628:therapy