Surgically Evacuated Spontaneous Retroperitoneal Hematoma—A Case Report—

Abstract

Spontaneous retroperitoneal hematoma (SRH) is a rare complication of antithrombotic therapy and is not related to trauma, medical procedures, or abdominal aortic aneurysm. We describe a patient with abdominal compartment syndrome due to SRH that required surgical evacuation of the hematoma. A 41-year-old man was referred to our hospital with abdominal pain and hypovolemic shock. Abdominal computed tomography revealed a large retroperitoneal hematoma in the right retroperitoneal region. After resuscitation and transcatheter angioembolization, intensive care was provided. However, the in-tra-abdominal pressure and serum creatinine levels did not improve. We performed surgical evacuation of the hematoma on day 10 of hospitalization. The postoperative course was uneventful, and the patient was discharged on hospital day 37. Surgical evacuation is an effective procedure that should be considered in patients with abdominal compartment syndrome due to SRH.