Spontaneous retroperitoneal hematoma after treatment with streptokinase for acute myocardial infarction : A case report
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Tarih
2013
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Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Retroperitoneal hematom (RPH) çoğunlukla travma, vasküler lezyonlar, cerrahi girişim, antikoagülan tedavi ve bazen de idiyopatik olarak görülebilen ve ölümcül seyredebilen bir durumdur. Çoğunlukla destek tedavisinin yapıldığı, çok az vakada cerrahi girişimin uygulandığı bir durumdur. Akut miyokart infaktüsü (Anterior) tanısıyla 78 yaşındaki bayan hastaya streptokinaz tedavisi verildi. Streptokinaz sonrasında şiddetli sol yan ağrısı, sırt ağrısı ve uyluk ağrısı başladı. Sol alt extremitede hareket kısıtlılığı ve parastezi gelişti. Herhangi bir travma, düşme yada antikoagülan kullanım öyküsü yoktu. Hastaya intraabdominal kanama şüphesi ile abdominal BT çekildi ve retroperitoneal alanda hematom ile uyumlu lezyon gözlendi. Bunun üzerine hastanın antikoagülan ilaçları kesildi ve hastaya eritrosit süspansiyonu verildi. Hastanın abdomen USG ile takiplerinde hematom boyutlarında artma gözlenmedi. Klinik olarak şikayetleri gerileyen vital bulguları stabil seyreden hasta kontrole çağrılarak taburcu edildi. Literatürde streptokinaza bağlı RPH vakası nadir bulunmasından ötürü bu vakayı paylaşmayı uygun buluyoruz.
Retroperitoneal hematoma (RPH) is a potentially life threatening condition commonly associated with trauma, vascular lesions, surgical intervention and anticoagulant therapy which may occasionally be seen as an idiopathic presentation. Treatment of RPH is usually supportive, with only a minority of cases undergoing surgical intervention. A 78 year old female diagnosed with acute myocardial infarction (anterior) received streptokinase treatment. She had severe left side pain, back pain and thigh pain following streptokinase administration. Paresthesia and movement restriction developed in her left lower extremity. The patient reported no history of trauma, falling or anticoagulant use. CT was performed due to suspected intraabdominal hemorrhage, and a lesion consistent with hematoma was detected in the retroperitoneal area. Subsequently, anticoagulant medications were discontinued and the patient received erythrocyte suspension. Size of the hematoma was not increased in the follow-up abdominal USG. Upon regression of her clinical complaints and with stabile vital findings, the patient was discharged and scheduled for a control visit. We would like to report this case as streptokinase related RPH cases are rare in the literature.
Retroperitoneal hematoma (RPH) is a potentially life threatening condition commonly associated with trauma, vascular lesions, surgical intervention and anticoagulant therapy which may occasionally be seen as an idiopathic presentation. Treatment of RPH is usually supportive, with only a minority of cases undergoing surgical intervention. A 78 year old female diagnosed with acute myocardial infarction (anterior) received streptokinase treatment. She had severe left side pain, back pain and thigh pain following streptokinase administration. Paresthesia and movement restriction developed in her left lower extremity. The patient reported no history of trauma, falling or anticoagulant use. CT was performed due to suspected intraabdominal hemorrhage, and a lesion consistent with hematoma was detected in the retroperitoneal area. Subsequently, anticoagulant medications were discontinued and the patient received erythrocyte suspension. Size of the hematoma was not increased in the follow-up abdominal USG. Upon regression of her clinical complaints and with stabile vital findings, the patient was discharged and scheduled for a control visit. We would like to report this case as streptokinase related RPH cases are rare in the literature.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
