Dai Une    Department   Kawasaki Medical School  Kawasaki Medical School, Department of Cardiovascular Surgery,    Position   Professor
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