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Massive retroperitoneal hematoma as an acute complication of retrograde intrarenal surgery:A case report

World Journal of Clinical Cases 2021年第16期9卷 3914-3918页

作者： Taesoo Choi Jeonghyouk Choi Gyeong Eun Min Dong-Gi Lee Department of Urology School of MedicineKyung Hee UniversitySeoul 05278South Korea

BACKGROUND Retrograde intrarenal surgery(RIRS)has been proven to be a safe and effective treatment modality in large-scale quantitative ***,although its safety profile has been established,it also has a potential risk of life-threatening *** here describe our experience with a patient who developed a huge periureteral hematoma after RIRS with holmium laser *** SUMMARY A 73-year-old woman visited our center with a complaint of gross *** enhanced computed tomography(CT)scan revealed a 1.5-cm left renal pelvis stone with *** patient underwent *** the surgery,a 12/14-Fr ureteral access sheath was applied and a 6-Fr ureteral catheter was indwelled *** postoperative day 1,she experienced aggravated left flank pain and left lower-quadrant tenderness without rebound tenderness.A follow-up CT scan was taken,which revealed a huge hematoma in the periureteral space,not in the perirenal space,with suspicious contrast medium *** angiography was performed;however,it showed no evidence of active *** was conservatively managed with hydration and antibiotic and nonsteroidal anti-inflammatory drug therapy,and was discharged on postoperative day ***,she visited our outpatient department with recurrent left flank pain at 5 d from *** confirmed that the double J-stent was *** rule out stent malfunction,the stent was *** size of the hematoma was observed in the imaging studies,and conservative management for candiduria was performed for 1 *** Although RIRS is an effective and safe procedure for the management of renal stones,clinicians should be aware of its potential complications.

关键词： retroperitoneal hematoma Ureteral access sheath Retrograde intrarenal surgery Acute complication Case report

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Spontaneous Paravesical and Broad Ligament hematoma after Vaginal Delivery Had Uterine Artery Embolization after Evacuating the hematoma

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Open Journal of Obstetrics and Gynecology 2024年第3期14卷 480-486页

作者： Aayat Jaaffar Naseeb Abrar Majdi Al Nasheet Salmaniya Medical Complex Manama Bahrain

Broad ligament hematoma is typically seen during cesarean section due to rupture of branches of uterine and vaginal vessels and it’s rare to be seen post-normal vaginal delivery. Addressing puerperal hematomas postpartum presents considerable challenges for obstetric care providers. While hematomas such as those affecting the vulva, vulvovaginal region, or paravaginal area are frequently encountered, retroperitoneal hematomas are rare and notably pose a greater risk to the life of the patient. The medical literature contains scant case reports on retroperitoneal hematomas, with no consensus on a definitive treatment approach. Pelvic arterial embolization has emerged as both a sensible and increasingly preferred method for treating these hematomas recently, but its application is contingent upon the patient maintaining hemodynamic stability and the availability of a specialized interventional embolization unit. In our case, we are presenting a very rare case of a 31-year-old primigravida female with a history of in vitro fertilization pregnancy. She delivered a normal vaginal delivery at 31 weeks gestation. Unfortunately, she experienced multiple complications intrapartum, including preeclampsia and placental abruption. These complications increased her risk of developing a broad ligament hematoma.

关键词： Broad Ligament Paravesical hematoma Spontaneous hematoma Uterine Artery Embolization retroperitoneal hematoma Vaginal Delivery

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Postpartum Spontaneous Rupture of an Ovarian Artery Aneurysm:A Case Report and Review

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Reproductive and Developmental Medicine 2020年第3期4卷 191-193页

作者： Hui-Fen Yin Hai-Yan Liu Wen-Tao Jin Rong Hu Department of Obstetrics Obstetrics and Gynecology HospitalFudan UniversityShanghai 200011China Department of Radiology Obstetrics and Gynecology HospitalFudan UniversityShanghai 200011China

This study reported a case of spontaneous rupture of an ovarian artery aneurysm 4 days following cesarean *** patient mainly presented with a consistent low-grade fever and did not have symptoms,such as severe abdominal or flank pain,as is common in other similar *** magnetic resonance imaging revealed a massive retroperitoneal hematoma;angiography confirmed that there was a rupture in an ovarian artery aneurysm.A selective embolization was performed successfully.

关键词： Embolization Ovarian Artery Aneurysm Pregnancy retroperitoneal hematoma

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