title: [Giant retroperitoneal hematoma in the peripartum of a normal delivery, "expectative attitude"].
abstract: We describe a case involving spontaneous retroperitoneal hematoma complicating a normal delivery in a context of a Disseminated Intravascular Coagulation (DIVC) at the end of the pregnancy. Given the defaced symptomatology, an abdomino-pelvic scanner and an examination with a general anaesthesia made it possible to diagnose and to monitor the hematoma in intensive care. The correction of the hemostasis troubles and of the anemia, without another invasive intervention, allowed a return to home at the eighth day. The pathophysiological mechanisms underlying development and practicable treatments of this post-partum hematoma are discussed.
authors.affiliation: Hôpital Armand-Trousseau, 26 rue du Dr.-Arnold-Netter, Paris, France. sarah.vanlie@wanadoo.fr
authors.forename: S
authors.initials: S
authors.lastname: Vanlieferinghen
authors.forename: M
authors.initials: M
authors.lastname: Piketty
authors.forename: Y
authors.initials: Y
authors.lastname: Blumental
authors.forename: J-M
authors.initials: JM
authors.lastname: Jouannic
authors.forename: P
authors.initials: P
authors.lastname: Desfeux
authors.forename: J-L
authors.initials: JL
authors.lastname: Benifla
mesh_terms: D000328:Adult; D000740:Anemia / Q000150:complications / Q000628:therapy; D001803:Blood Transfusion; D003422:Critical Care; D036861:Delivery, Obstetric; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000628:therapy; D005260:Female; D006406:Hematoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D058725:Peripartum Period; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis; D012187:Retroperitoneal Space