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.
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 of retroperitoneal puerperal hematoma with good
clinical evolution, depends on status of the patient, cause of injury and its evolution.