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
Hauptverfasser: Menéndez López, Violeta, Galán Llopis, Juan Antonio, Carro Rubias, Carlos, Lloréns Martínez, Francisco José, García López, Francisco
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container_title Archivos españoles de urología
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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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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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