Internal Medicine, Wayne State University, Warren, Michigan, USA
Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA.
BMJ Case Rep. 2021 Aug 17;14(8):e242934. doi: 10.1136/bcr-2021-242934.
Retroperitoneal haemorrhage (RH) is not uncommon in patients with provoking events like trauma. However, spontaneous RH (SRH) is a rare and life-threatening complication described as the development of bleeding into the retroperitoneal cavity, appearing spontaneously and without a preceding history of trauma or other predisposing illness. We are reporting a case of an elderly patient with recurrent deep vein thrombosis who had developed SRH secondary to concurrent use of multiple anticoagulation agents, resulting from poor healthcare follow-up and lack of sufficient medication reconciliation. This article highlights the significance of recognising risk factors for SRH, as well as management strategies through literature review.
腹膜后出血（RH）在有创伤等诱发事件的患者中并不少见。然而，自发性 RH（SRH）是一种罕见且危及生命的并发症，表现为腹膜后腔出血的自发发生，且没有创伤或其他潜在疾病的既往病史。我们报告了一例老年患者，因反复深静脉血栓形成而同时使用多种抗凝药物导致 SRH，这是由于医疗保健随访不佳和药物调整不足所致。本文通过文献回顾强调了认识 SRH 风险因素以及管理策略的重要性。
