Hemorrhagic Shock and Obstructive Uropathy Due to a Large Rectus Sheath Hematoma in a Patient on Anticoagulant Therapy
スポンサーリンク
概要
- 論文の詳細を見る
A 54-year-old woman was transferred to our hospital with disseminated intravascular coagulation, and was treated with heparin. On hospitalization day 13, she developed lower abdominal pain and mass followed by circulatory shock. She became oliguric and laboratory tests showed serum creatinine of 3.5 mg/dL and hemoglobin of 7.4 g/dL. Computed tomography showed hematoma in the left rectus sheath, compressing the urinary bladder exteriorly, which resulted in worsening of bilateral hydronephrosis. Conservative treatment resulted in resolution of the rectus sheath hematoma and improvement of renal function. Rectus sheath hematoma can be treated conservatively without surgical intervention even in complicated cases.
- 社団法人 日本内科学会の論文
著者
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Hirakata Hideki
九州大学 医学研究院病態機能内科学
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Toyonaga Jiro
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Tsuruya Kazuhiko
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Masutani Kohsuke
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Maeda Hiroto
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Nakamura Kuniyuki
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Taniguchi Masatomo
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Hirakata Hideki
Kidney Unit, Fukuoka Red Cross Hospital
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Iida Mitsuo
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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Masutani Kohsuke
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences
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Iida Mitsuo
Department Of Medical And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Taniguchi Masatomo
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Toyonaga Jiro
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
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Maeda Hiroto
Department of Biochemistry and Technology of Marine Food and Resources, Faculty of Fisheries, Kagoshima University
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Tsuruya Kazuhiko
Department of Integrated Therapy for Chronic Kidney Disease, Graduate School of Medical Sciences, Kyushu University, Japan
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