ウネ ダイ   Dai Une
  畝 大
   所属   川崎医科大学  医学部 臨床医学 心臓血管外科学
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Bilateral iliopsoas hematomas under sedation: a complication of postoperative therapy after coronary artery bypass grafting.
掲載誌名 正式名:Acta medica Okayama
略  称:Acta Med Okayama
ISSNコード:0386300X/0386300X
掲載区分国内
巻・号・頁 64(1),pp.71-3
著者・共著者 Dai Une, Shuji Shimizu, Koji Nakanishi
発行年月 2010/02
概要 We report a case of bilateral iliopsoas hematomas that occurred during postoperative therapy after coronary artery bypass grafting (CABG). An 81-year-old woman receiving anticoagulant and antiplatelet therapies under sedation after CABG developed sudden anemia and went into shock. Abdominal ultrasonography showed a right retroperitoneal hematoma. She improved gradually with conservative treatment. Many patients with an iliopsoas hematoma complain of low-abdominal pain or femoral neuropathy, but such local signs may be absent under sedation. In anticoagulant and antiplatelet therapies under sedation, when the cause of anemia and shock is not clear, we should suspect peritoneal hematoma and examine the peritoneal space.
DOI 10.18926/AMO/32858
PMID 20200588