Spontaneous Retroperitoneal Hemorrhage with Psoas Hematoma in an Elderly Patient: A Diagnostic and Therapeutic Challenge

Authors : Kayahan Eyüboğlu, Cem Keskin

Pages : 86-88

Doi:10.33706/jemcr.1600787

View : 68 | Download : 79

Publication Date : 2025-09-30

Article Type : Other Papers

Abstract :Introduction: Spontaneous retroperitoneal hemorrhage (SRH) is a rare but life-threatening condition, often challenging to diagnose and manage, particularly in elderly patients. Anticoagulant therapy significantly increases the risk of complications such as psoas hematoma. Case Report: A 93-year-old male on anticoagulation therapy presented with dizziness and syncope, leading to the discovery of an 8 cm psoas hematoma via imaging. The patient was treated with blood transfusion, Vitamin K, and interventional radiology, achieving hemostasis without surgical intervention. Conclusion: Early recognition and prompt intervention are crucial for managing SRH in elderly patients on anticoagulants. This case highlights the importance of multidisciplinary approaches and imaging in achieving successful outcomes.
Keywords : Spontan Retroperitoneal Kanama, Psoas Hematomu, Antikoagülan Tedavi, Transarteryal Embolizasyon

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