PMID: 733505Oct 28, 1978Paper

Retroperitoneal haematomas in patients receiving anticoagulants. Therapeutic indications. One case (author's transl)

La Nouvelle presse médicale
C MarinettiJ Comiti

Abstract

Despite the customary absence of any preexistent lesion, aetiological studies should not be neglected, in particular intravenous pyelography and, above all, angiography. Wilst an attitude of therapeutic abstention has been the rule up to the present time, the indications of treatment may be modified in the absence of a local cause: - the small retroperitoneal haematoma benefits most from medical treatment; - surgical treatment should nevertheless be applied early in the case of: . large retroperitoneal haematomas, . whenever anticoagulant therapy must be maintained at all costs. . in the case of nerve compression. - Pre-operative angiography ensures selection of the safest surgical approach.

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