Life-threatening spontaneous retroperitoneal bleeding: A rare complication of oral anticoagulation

被引：5

作者：

Casella, R ^{[1
]}

Staedele, H ^{[1
]}

von Weymarn, A ^{[1
]}

Stoffel, F ^{[1
]}

Bongartz, G ^{[1
]}

Gasser, TC ^{[1
]}

机构：

[1] Univ Basel Hosp, Urol Clin, CH-4031 Basel, Switzerland

来源：

UROLOGIA INTERNATIONALIS | 1999年 / 63卷 / 04期

关键词：

oral anticoagulation; renal colic; retroperitoneal bleeding;

D O I：

10.1159/000030460

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

In a patient on oral anticoagulation with sudden onset of loin pain, the possibility of spontaneous bleeding in the retroperitoneum must be considered in the differential diagnosis of renal colic. This rare pathology can be life-threatening, and rapid diagnosis with ultrasound and computerized tomography of the abdomen must be made. if the patient is hemodynamically stable, a conservative approach is justified. Otherwise, emergency nephrectomy may be needed. As patients become older and indications for anticoagulant therapy become more common, we will probably have to face more of these rare bleeding complications in the future: We report such a case. Copyright (C) 2000 S. Karger AG, Basel.

引用

页码：247 / 248

页数：2