Spontaneously resolved gigantic retroperitoneal haematoma following oophorectomy: A case report in a cardiac patient on anticoagulant therapy

• Main Author: Ahmed Samy Elagwany
• Format: Article
• Language: English
• Published: Taylor & Francis Group 2015-07-01
• Series: Egyptian Journal of Anaesthesia
• Online Access: http://www.sciencedirect.com/science/article/pii/S1110184915000513

Introduction: Retroperitoneal haemorrhage is a clinical entity that can present as a rare life-threatening event, causing significant morbidity and representing a diagnostic challenge. Case presentation: We report the case of a patient with double mitral and aortic valve replacement on oral anticoagulant who presented with retroperitoneal haematoma after left oophorectomy for ruptured huge ovarian cyst which was treated conservatively. Conclusion: Delay in diagnosis is potentially fatal and high clinical suspicion remains crucial. Finally, it is a matter of controversy whether retroperitoneal haematomas should be surgically evacuated or conservatively treated and the final decision should be made after taking into consideration patient’s general condition and the possibility of permanent femoral or sciatic neuropathy due to compression syndrome.