Spontaneous retroperitoneal hematoma induced by vitamin K antagonist therapy: A case report |
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| Authors: | Youssra Bouhaddoune Marwa Bilal Hajar Mahjouba Imane Skiker Noha El Ouafi Zakaria Bazid |
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| Affiliation: | aDepartment of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, Morocco;bDepartment of Radiology, Mohamed First University, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, Morocco;cEpidemiological Laboratory of Clinical Research and Public Health, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, Morocco |
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| Abstract: | Vitamin K antagonists (VKA) are recommended in patients with mechanical heart valves. Major bleeding events remain the most life-threatening complication of this therapy and sometimes it can occur in unusual anatomic areas. Spontaneous retroperitoneal hematoma is one of the rare complications of anticoagulation therapy, which needs to be recognized early and managed promptly. Here, we report a case of a 40-year-old woman with mechanical heart valve treated with acenocoumarol, who was admitted to the emergency department with abdominal pain and whose investigations came back in favor of a massive retroperitoneal hematoma. The patient was successfully treated through conservative management resulting in a good outcome. Clinicians should be careful when prescribing VKA and should always think of retroperitoneal bleeding in the event of abdominal pain or a sudden decrease in the hemoglobin levels of anticoagulated patients. |
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| Keywords: | Case report Spontaneous retroperitoneal hematoma Anticoagulation Vitamin K antagonists Mechanical heart valve |
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