Spontaneously resolved gigantic retroperitoneal haematoma following oophorectomy: A case report in a cardiac patient on anticoagulant therapy

Isoni, Núbia Campos Faria

doi:10.1016/j.egja.2015.04.003

Spontaneously resolved gigantic retroperitoneal haematoma following oophorectomy: A case report in a cardiac patient on anticoagulant therapy

Author

Núbia Campos Faria Isoni

10.1016/j.egja.2015.04.003

Abstract

Introduction
Retroperitoneal haemorrhage is a clinical entity that can present as a rare life-threatening event, causing significant morbidity and representing a diagnostic challenge.
Case presentation
We report the case of a patient with double mitral and aortic valve replacement on oral anticoagulant who presented with retroperitoneal haematoma after left oophorectomy for ruptured huge ovarian cyst which was treated conservatively.
Conclusion
Delay in diagnosis is potentially fatal and high clinical suspicion remains crucial. Finally, it is a matter of controversy whether retroperitoneal haematomas should be surgically evacuated or conservatively treated and the final decision should be made after taking into consideration patient’s general condition and the possibility of permanent femoral or sciatic neuropathy due to compression syndrome.