부산대학교 도서관

We report a case of retroperitoneal hematoma caused by arterial puncture in the insertion of a central venous catheter in the inguinal region. A woman in her seventy with anorexia and weight loss admitted to a previous hospital suffered from a punctured artery when a central venous catheter was inserted in the right inguinal region. That night, she reported right lower abdominal pain and anemia. On day 3 after the arterial puncture, anemia recurred. CT showed retroperitoneal hematoma. The patient was transferred to our hospital for surgery. Postoperatively, anemia did not recur. Retroperitoneal hematoma is a rare complication of catheterization. CT and abdominal echography are useful in making a diagnosis. A patient with retroperitoneal hematoma who suffers recurrent anemia requires surgical hemostasis.