학술논문
Retroperitoneal Hematoma Following Elective Abdominal Aortic Aneurysm Repair: A Case Report.
Document Type
Academic Journal
Author
Holowachuk S; From the Departments of Anesthesia and Pain Management.; Ma M; From the Departments of Anesthesia and Pain Management.; Oreopoulos G; Vascular Surgery and Vascular Interventional Radiology, Toronto General Hospital, Toronto, Ontario, Canada.
Source
Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101714112 Publication Model: Print Cited Medium: Internet ISSN: 2575-3126 (Electronic) Linking ISSN: 25753126 NLM ISO Abbreviation: A A Pract Subsets: MEDLINE
Subject
Language
English
Abstract
Retroperitoneal hematoma formation following elective open abdominal aortic aneurysm (AAA) repair may be occult. We report a case of recurrent hypotensive episodes in the postanesthesia care unit (PACU) that were temporarily treated successfully with fluid, blood products, and vasopressors. At reoperation, active bleeding was excluded; however, upon reopening the bovine pericardial patch closure of the retroperitoneum, hematoma between the aneurysmal sac and inferior vena cava (IVC) had caused IVC compression. Evacuation of the hematoma rapidly restored venous return and hemodynamics. This report describes a case of retroperitoneal hematoma formation and highlights challenges associated with diagnosing bleeding in this compartment.