Our strategy in a patient with spontaneous retroperitoneal hemorrhage and deep venous thrombosis of the left lower extremity

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