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Rare disease
CASE REPORT
Endovascular management of a case of spontaneous retroperitoneal haematoma complicated with deep vein thrombosis and pulmonary embolism
  1. Balbir Singh1,
  2. Prashant Bharadwaj1,
  3. Nitin Bajaj2,
  4. Davinder Chadha3
  1. 1Department of Cardiology, Military Hospital (CTC), Pune, Maharashtra, India
  2. 2Department of Cardiology, Command Hospital, Udhampur, India
  3. 3Department of Cardiology, Command Hospital, Bangalore, Karnataka, India
  1. Correspondence to Professor Davinder Chadha, agiamu{at}gmail.com

Summary

Spontaneous retroperitoneal haematoma (SRH) can be a life-threatening emergency presenting with hypovolaemic shock. SRH has been rarely reported with May-Thurner syndrome (MTS) where it occurs due to rupture of the iliac vein or venous collaterals. We report a case of MTS that presented with deep venous thrombosis of the left lower limb complicated by bilateral pulmonary embolism (PE) and a large pelvic haematoma. The simultaneous occurrence of a large pelvic haematoma and PE offered a therapeutic challenge. Successful endovascular management of the case is discussed in this report.

  • cardiovascular medicine
  • interventional cardiology
  • venous thromboembolism

https://doi.org/10.1136/bcr-2017-222217

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    Footnotes

    • Contributors BS: substantial contributions towards gathering of clinical details and work-up of patient. NB: substantial contributions towards management of patient and review of literature. PB: substantial contributions towards preparation of draft and review of literature. DC: accountable for all aspects of the work related to the accuracy of the work. Final approval of the draft sent for publication.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.