Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment
To report a case of perivesical hematoma without previous trauma in a patient under anticoagulant treatment. A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort....
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Veröffentlicht in: | Archivos españoles de urología 2003-04, Vol.56 (3), p.305 |
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creator | Menéndez López, Violeta Galán Llopis, Juan Antonio Carro Rubias, Carlos Lloréns Martínez, Francisco José García López, Francisco |
description | To report a case of perivesical hematoma without previous trauma in a patient under anticoagulant treatment.
A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort. Abdominal ultrasound showed a big perivesical hematoma.
CT scan confirmed the presence of a big hematoma. The hematoma was drained five days later after an optimal coagulation profile. Patient was discharged with normal ultrasound after an uneventful postoperative course.
Spontaneous bleeding in patients with coagulation abnormalities is a well-known event, although there are few bibliographic references about primary perivesical blood collections. We opted for deferred drainage of the hematoma to avoid perivesical fibrosis. |
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A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort. Abdominal ultrasound showed a big perivesical hematoma.
CT scan confirmed the presence of a big hematoma. The hematoma was drained five days later after an optimal coagulation profile. Patient was discharged with normal ultrasound after an uneventful postoperative course.
Spontaneous bleeding in patients with coagulation abnormalities is a well-known event, although there are few bibliographic references about primary perivesical blood collections. We opted for deferred drainage of the hematoma to avoid perivesical fibrosis.</description><identifier>ISSN: 0004-0614</identifier><identifier>PMID: 12768994</identifier><language>spa</language><publisher>Spain</publisher><subject>Aged ; Anticoagulants - adverse effects ; Drainage - methods ; Female ; Hematoma - chemically induced ; Hematoma - diagnostic imaging ; Hematoma - surgery ; Heparin - adverse effects ; Humans ; Tomography, X-Ray Computed ; Treatment Outcome ; Urinary Bladder Diseases - chemically induced ; Urinary Bladder Diseases - diagnostic imaging ; Urinary Bladder Diseases - surgery</subject><ispartof>Archivos españoles de urología, 2003-04, Vol.56 (3), p.305</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12768994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Menéndez López, Violeta</creatorcontrib><creatorcontrib>Galán Llopis, Juan Antonio</creatorcontrib><creatorcontrib>Carro Rubias, Carlos</creatorcontrib><creatorcontrib>Lloréns Martínez, Francisco José</creatorcontrib><creatorcontrib>García López, Francisco</creatorcontrib><title>Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment</title><title>Archivos españoles de urología</title><addtitle>Arch Esp Urol</addtitle><description>To report a case of perivesical hematoma without previous trauma in a patient under anticoagulant treatment.
A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort. Abdominal ultrasound showed a big perivesical hematoma.
CT scan confirmed the presence of a big hematoma. The hematoma was drained five days later after an optimal coagulation profile. Patient was discharged with normal ultrasound after an uneventful postoperative course.
Spontaneous bleeding in patients with coagulation abnormalities is a well-known event, although there are few bibliographic references about primary perivesical blood collections. We opted for deferred drainage of the hematoma to avoid perivesical fibrosis.</description><subject>Aged</subject><subject>Anticoagulants - adverse effects</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Hematoma - chemically induced</subject><subject>Hematoma - diagnostic imaging</subject><subject>Hematoma - surgery</subject><subject>Heparin - adverse effects</subject><subject>Humans</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder Diseases - chemically induced</subject><subject>Urinary Bladder Diseases - diagnostic imaging</subject><subject>Urinary Bladder Diseases - surgery</subject><issn>0004-0614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tKxDAYRrNQnHH0FSQvUEjaXJqlDN6g4MLZD3-avzORJg1JKvj2Dqir78CBA98V2TLGRMMUFxtyW8onY13PpbwhG95q1RsjtmT4SEusEHFZC00Zmy8sfoSZngED1CUA9ZECTVA9xkrX6DBTiNWPC5zW-UK0ZoQaLvaOXE8wF7z_2x05PD8d9q_N8P7ytn8cmiSFaNRouEXLBGhmZW-0khZa64QbWauMnLTAjiuwyB1YadiolOnNJHQnpHK225GH32xabUB3TNkHyN_H_1fdD3-pSQY</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Menéndez López, Violeta</creator><creator>Galán Llopis, Juan Antonio</creator><creator>Carro Rubias, Carlos</creator><creator>Lloréns Martínez, Francisco José</creator><creator>García López, Francisco</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>200304</creationdate><title>Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment</title><author>Menéndez López, Violeta ; Galán Llopis, Juan Antonio ; Carro Rubias, Carlos ; Lloréns Martínez, Francisco José ; García López, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p544-6c91beb04a70b589765ba2bd4dc02695f74e316abe1dab590c66989f473456db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Anticoagulants - adverse effects</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Hematoma - chemically induced</topic><topic>Hematoma - diagnostic imaging</topic><topic>Hematoma - surgery</topic><topic>Heparin - adverse effects</topic><topic>Humans</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder Diseases - chemically induced</topic><topic>Urinary Bladder Diseases - diagnostic imaging</topic><topic>Urinary Bladder Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Menéndez López, Violeta</creatorcontrib><creatorcontrib>Galán Llopis, Juan Antonio</creatorcontrib><creatorcontrib>Carro Rubias, Carlos</creatorcontrib><creatorcontrib>Lloréns Martínez, Francisco José</creatorcontrib><creatorcontrib>García López, Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Archivos españoles de urología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Menéndez López, Violeta</au><au>Galán Llopis, Juan Antonio</au><au>Carro Rubias, Carlos</au><au>Lloréns Martínez, Francisco José</au><au>García López, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment</atitle><jtitle>Archivos españoles de urología</jtitle><addtitle>Arch Esp Urol</addtitle><date>2003-04</date><risdate>2003</risdate><volume>56</volume><issue>3</issue><spage>305</spage><pages>305-</pages><issn>0004-0614</issn><abstract>To report a case of perivesical hematoma without previous trauma in a patient under anticoagulant treatment.
A 70-year-old female admitted with a transitory ischemic cerebrovascular accident was given sodium heparin. Four days later she presented with abdominal distention and hypogastric discomfort. Abdominal ultrasound showed a big perivesical hematoma.
CT scan confirmed the presence of a big hematoma. The hematoma was drained five days later after an optimal coagulation profile. Patient was discharged with normal ultrasound after an uneventful postoperative course.
Spontaneous bleeding in patients with coagulation abnormalities is a well-known event, although there are few bibliographic references about primary perivesical blood collections. We opted for deferred drainage of the hematoma to avoid perivesical fibrosis.</abstract><cop>Spain</cop><pmid>12768994</pmid></addata></record> |
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source | MEDLINE; Alma/SFX Local Collection |
subjects | Aged Anticoagulants - adverse effects Drainage - methods Female Hematoma - chemically induced Hematoma - diagnostic imaging Hematoma - surgery Heparin - adverse effects Humans Tomography, X-Ray Computed Treatment Outcome Urinary Bladder Diseases - chemically induced Urinary Bladder Diseases - diagnostic imaging Urinary Bladder Diseases - surgery |
title | Spontaneous pre-vesical haematoma in a patient under anticoagulant treatment |
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