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CLC number: R692

On-line Access: 2012-05-04

Received: 2011-12-01

Revision Accepted: 2012-02-29

Crosschecked: 2012-04-16

Cited: 6

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Journal of Zhejiang University SCIENCE B 2012 Vol.13 No.5 P.408-412


Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

Author(s):  Wen-xing Fan, Zheng-xu Deng, Fang Liu, Rong-bo Liu, Ling He, Bogati Amrit, Li Zang, Jing-wen Li, Xian-rong Liu, Song-min Huang, Ping Fu

Affiliation(s):  Department of Nephrology, West China Hospital, Sichuan University, Chengdu 610041, China; more

Corresponding email(s):   liufangfh@163.com

Key Words:  Spontaneous retroperitoneal hemorrhage, Diabetic nephropathy, Hemodialysis, Nadroparin calcium

Wen-xing Fan, Zheng-xu Deng, Fang Liu, Rong-bo Liu, Ling He, Bogati Amrit, Li Zang, Jing-wen Li, Xian-rong Liu, Song-min Huang, Ping Fu. Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents[J]. Journal of Zhejiang University Science B, 2012, 13(5): 408-412.

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author="Wen-xing Fan, Zheng-xu Deng, Fang Liu, Rong-bo Liu, Ling He, Bogati Amrit, Li Zang, Jing-wen Li, Xian-rong Liu, Song-min Huang, Ping Fu",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents
%A Wen-xing Fan
%A Zheng-xu Deng
%A Fang Liu
%A Rong-bo Liu
%A Ling He
%A Bogati Amrit
%A Li Zang
%A Jing-wen Li
%A Xian-rong Liu
%A Song-min Huang
%A Ping Fu
%J Journal of Zhejiang University SCIENCE B
%V 13
%N 5
%P 408-412
%@ 1673-1581
%D 2012
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1100357

T1 - Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents
A1 - Wen-xing Fan
A1 - Zheng-xu Deng
A1 - Fang Liu
A1 - Rong-bo Liu
A1 - Ling He
A1 - Bogati Amrit
A1 - Li Zang
A1 - Jing-wen Li
A1 - Xian-rong Liu
A1 - Song-min Huang
A1 - Ping Fu
J0 - Journal of Zhejiang University Science B
VL - 13
IS - 5
SP - 408
EP - 412
%@ 1673-1581
Y1 - 2012
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1100357

In this paper, we described the symptoms and treatment of a patient with diabetic nephropathy accompanied by spontaneous retroperitoneal hemorrhage after hemodialysis. An elderly female patient with diabetic nephropathy presented with severe pain, numbness, and an increasing swelling in the left hip and left thigh after six sessions of hemodialysis involving the use of an antiplatelet drug and an anticoagulant agent. Her hemoglobin decreased to 46 g/L. An abdominal ultrasound showed a hematoma in the left retroperitoneal space, and computed tomography (CT) findings revealed a 6 cm×8 cm×10 cm hematoma in the left psoas muscle. After aggressive supportive therapy [the administration of packed red blood cell transfusion, carbazochrome sodium sulfonate injection, and continuous venovenous hemofiltration (CVVH)], the patient’s vital signs stabilized and her hemoglobin increased to 86 g/L. Repeat CT showed that the hematoma had been partially absorbed after two weeks. Eventually, the patient was discharged with stable vital signs. Physicians should be aware of the possibility of spontaneous retroperitoneal hemorrhage, particularly in patients with diabetic nephropathy undergoing hemodialysis involving the use of anticoagulant agents.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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