Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2022 , Vol 31 , Issue 1
Our strategy in a patient with spontaneous retroperitoneal hemorrhage and deep venous thrombosis of the left lower extremity
Kazım Ergüneş1, Yalçın Günerhan2
1Department of Cardiovascular Surgery, Kafkas University Medicine Faculty, Kars, Turkey
2Department of Cardiovascular Surgery, Kars Harakani State Hospital, Kars, Turkey
DOI : 10.9739/tjvs.2022.109 A 47-year-old female was admitted to our clinic with severe pain in the lower abdomen, lumbar region, and left lower extremity. Contrastenhanced computed tomography showed an irregular and heterogenous soft tissue mass in the inferior of left kidney, and pelvic varicosities. Emergency exploratory laparotomy revealed multiple venous bleeding in the pelvic veins and left internal iliac vein. Bleeding from veins was unable to be stopped by direct suturing. Therefore, distal of the left common iliac vein, proximal of the left external iliac vein, and left internal iliac vein were ligated. The postoperative follow-up period was uneventful. In conclusion, retroperitoneal venous hemorrhage accompanied by deep venous thrombosis of the lower extremity is a serious condition with high morbidity and mortality. Timely surgical and medical treatment is life-saving. Keywords : Deep venous thrombosis, spontaneous retroperitoneal hemorrhage, surgery
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