Abstract
Spontaneous retroperitoneal haematoma (SRH) can be a life-threatening emergency presenting with hypovolaemic shock. SRH has been rarely reported with May-Thurner syndrome (MTS) where it occurs due to rupture of the iliac vein or venous collaterals. We report a case of MTS that presented with deep venous thrombosis of the left lower limb complicated by bilateral pulmonary embolism (PE) and a large pelvic haematoma. The simultaneous occurrence of a large pelvic haematoma and PE offered a therapeutic challenge. Successful endovascular management of the case is discussed in this report.
Keywords:
cardiovascular medicine; interventional cardiology; venous thromboembolism.
© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
MeSH terms
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Aftercare
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Computed Tomography Angiography / methods
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Diagnosis, Differential
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Endovascular Procedures / methods
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Factor Xa Inhibitors / therapeutic use
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Female
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Hematoma / complications*
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Hematoma / drug therapy
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Hematoma / pathology
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Hematoma / surgery*
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Humans
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Lower Extremity / blood supply*
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Lower Extremity / diagnostic imaging
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Lower Extremity / pathology
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Magnetic Resonance Imaging / methods
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Middle Aged
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Peritoneum / blood supply*
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Peritoneum / diagnostic imaging
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Peritoneum / pathology
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Pulmonary Embolism / diagnostic imaging
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Pulmonary Embolism / etiology*
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Pyrazoles / administration & dosage
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Pyrazoles / therapeutic use
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Pyridones / administration & dosage
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Pyridones / therapeutic use
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Stents / standards
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Thrombolytic Therapy / instrumentation*
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Treatment Outcome
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Ultrasonography / methods
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Ultrasonography, Doppler / methods
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Venous Thrombosis / etiology
Substances
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Factor Xa Inhibitors
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Pyrazoles
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Pyridones
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apixaban