Department of Internal Medicine, Soonchunghyang University Cheonan Hospital, Cheonan, Korea.
Korean J Intern Med. 2011 Sep;26(3):352-5. doi: 10.3904/kjim.2011.26.3.352. Epub 2011 Sep 13.
Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present in the absence of specific underlying pathology or trauma and is typically associated with anticoagulation therapy. We report a case of a 74-year-old female patient with a cerebral infarction related to atrial fibrillation who developed a spontaneous lumbar arterial hemorrhage complicating heparin therapy. The diagnosis was suggested by a computed tomography scan and confirmed by angiography. She was treated successfully with transcatheter embolization.
自发性腹膜后出血是一种明显的临床实体,可在无特定潜在病理或创伤的情况下出现,通常与抗凝治疗有关。我们报告了一例 74 岁女性患者,因心房颤动相关脑梗死,在接受肝素治疗时发生自发性腰动脉出血。计算机断层扫描提示诊断,血管造影证实。她成功接受了经导管栓塞治疗。