Diagnosis and Management of Spontaneous Lumbar Venous Retrop
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Retroperitoneal hematoma is rare and benefits from a systematic approach to prevent morbidity and mortality. Management of such bleeds is based upon patient stability, the cause (spontaneous or posttraumatic), and source (arterial or venous). Herein, the authors describe a diagnostic and management algorithm for retroperitoneal hemorrhage with an example of a rare lumbar venous bleed under the complicated clinical setting of deep venous thrombosis.

Case Report
A 58-year-old homeless male with a history of hypertension and prior venous thromboembolism presented to the emergency department (ED) for 1 week of weakness and fatigue. He denied any hemoptysis, dyspnea, chest pain, headache, nausea, and vomiting. Besides a heart rate of 113?bpm his physical exam was normal. His past medical history included type II diabetes. His past surgical history was significant for an infrarenal IVC filter placement 15 years ago that was still in place. He was unsure as to why it was initially placed. He had no known allergies and took atenolol, lisinopril, and metformin at home. He was not taking any oral anticoagulants. He had no family history of malignancies and bleeding disorders.

https://goo.gl/ot6XTa
Like
Comment
Share