Conservative Treatment Of Huge Retroperitoneal Puerperal Hematoma: Case Report

Author(s): Sedigheh Ghasemian Dizajmehr *, Farzaneh Rashidi Fakari , Mohsen Ghasemian

Retroperitoneal hematomas(RPH) is a consequence of injury to bony

structures, ruptured of intestinal or retroperitoneal viscera and major blood vessels.

RPH is an important factor for hospitalization in patients with trauma and proper

treatment is still under discussion and Controversial. We describe a successful case of

conservative treatment of huge hematoma after cesarean section.

Case presentation:

An Iranian 34-year-old multigravida woman with three previous

cesarean sections from Urmia province presented to our hospital with amniotic fluid

leak. She had full-term pregnancy. Caesarean section was done. One day after caesar-

ean section, she became dyspnea and had chest pain in left side. Embolism is suspected

and enoxaparin was administered. According, hemoglobin decreased (hemoglobin:6.2)

after administered the second dose of enoxaparin and a clear dullness percussion led to

suspected to hemorrhage and RPH was discontinued enoxaparin. After the patient is

stable, the patient was discharged and RPH was followed up by ultrasonography and

conservative treatment.

Conclusion:

Conservative treatment of retroperitoneal puerperal hematoma with good

clinical evolution, depends on status of the patient, cause of injury and its evolution.

Internal Medicine and Medical Investigation Journal