Document Detail


Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents.
MedLine Citation:
PMID:  22556180     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this paper, we described the symptoms and treatment of a patient with diabetic nephropathy accompanied by spontaneous retroperitoneal hemorrhage after hemodialysis. An elderly female patient with diabetic nephropathy presented with severe pain, numbness, and an increasing swelling in the left hip and left thigh after six sessions of hemodialysis involving the use of an antiplatelet drug and an anticoagulant agent. Her hemoglobin decreased to 46 g/L. An abdominal ultrasound showed a hematoma in the left retroperitoneal space, and computed tomography (CT) findings revealed a 6 cm × 8 cm × 10 cm hematoma in the left psoas muscle. After aggressive supportive therapy [the administration of packed red blood cell transfusion, carbazochrome sodium sulfonate injection, and continuous venovenous hemofiltration (CVVH)], the patient's vital signs stabilized and her hemoglobin increased to 86 g/L. Repeat CT showed that the hematoma had been partially absorbed after two weeks. Eventually, the patient was discharged with stable vital signs. Physicians should be aware of the possibility of spontaneous retroperitoneal hemorrhage, particularly in patients with diabetic nephropathy undergoing hemodialysis involving the use of anticoagulant agents.
Authors:
Wen-xing Fan; Zheng-xu Deng; Fang Liu; Rong-bo Liu; Ling He; Bogati Amrit; Li Zang; Jing-wen Li; Xian-rong Liu; Song-min Huang; Ping Fu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Zhejiang University. Science. B     Volume:  13     ISSN:  1862-1783     ISO Abbreviation:  J Zhejiang Univ Sci B     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-04     Completed Date:  2012-09-10     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  101236535     Medline TA:  J Zhejiang Univ Sci B     Country:  China    
Other Details:
Languages:  eng     Pagination:  408-12     Citation Subset:  IM    
Affiliation:
Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anticoagulants / adverse effects*
Diabetic Nephropathies / complications*,  diagnosis*
Female
Hemorrhage / chemically induced*,  diagnosis*,  prevention & control
Humans
Renal Dialysis / adverse effects*
Retroperitoneal Space
Chemical
Reg. No./Substance:
0/Anticoagulants
Comments/Corrections

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