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Int J Angiol 2016; 25(05): e43-e48
DOI: 10.1055/s-0034-1387181
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Retroperitoneal Hematoma Simulating Ruptured Infrarenal Aortic Aneurysm in a Patient with End-Stage Renal Disease

JYY Li
1   Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
,
YC Chan
1   Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
,
KX Qing
1   Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
,
SW Cheng
1   Division of Vascular and Endovascular Surgery, Department of Surgery, The University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong
› Author Affiliations
Further Information

Publication History

Publication Date:
19 August 2014 (online)

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Abstract

We reported a case of spontaneous retroperitoneal hematoma (SRH) simulating a ruptured infrarenal aortic aneurysm. A 72-year-old man with a history of infrarenal aortic aneurysm and end-stage renal disease on hemodialysis presented with malaise and nonspecific central abdominal pain and left loin discomfort. An emergency computed tomography scan showed a large retroperitoneal hematoma and clinical suspicion of ruptured infrarenal aortic aneurysm. However, the hematoma was discontinuous with the aneurysm sac and raised the clinical suspicion on dual pathology. The SRH was treated conservatively with transfusion of blood products, and the aneurysm was treated with nonemergency endovascular repair electively. This case demonstrates the importance of recognizing different clinical and radiological characteristics and be aware of dual pathology.

Keywords

spontaneous retroperitoneal hemorrhage - hematoma - infrarenal aortic aneurysm - ecchymosis - hemodialysis

Note

The article is original. All authors contributed to the drafting, writing, and revising of the article.


 

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