ArticleThe American journal of case reports2022
Diagnosis and Management of Postpartum Retroperitoneal Hematoma: A Report of 3 Cases.
Article in The American journal of case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Idiopathic retroperitoneal hematoma after normal vaginal delivery: a case report and literature review.International journal of surgery case reports · 2026Article
- Peripheral Nerve Blocks and Fascial Plane Blocks in Labor: Expert Evidence-Based Perspectives.Anesthesia and analgesia · 2026Article
- Massive Retroperitoneal Hematoma Following Vaginal Delivery: A Case Report and Review of Literature.Cureus · 2026Article
- A Rare Presentation of Retroperitoneal Hemorrhage Following a Spontaneous Vaginal Delivery.Cureus · 2025Article
- Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report.BMC pregnancy and childbirth · 2025Article
- Preventing thrombotic events in a case of postpartum ovarian artery aneurysm rupture: clinical challenges and management approaches.Journal of surgical case reports · 2023Article
- Postpartum retroperitoneal hematoma secondary to ovarian artery rupture: A case presentation.Turkish journal of emergency medicineArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND The retroperitoneal hematoma is a very rare entity in obstetrics. A type of obstetric hematoma that extends into the retroperitoneal space, this hematoma usually occurs after laceration of the uterine artery, after uterine rupture, or by extension of a vaginal hematoma. Although the hematoma usually manifests as intense abdominal pain, sometimes the clinical signs can go unnoticed. This is the main reason it is important to report the cases in which retroperitoneal hematomas occur. In addition to clinical suspicion, experience in management can also help improve maternal morbidity and mortality from this cause. CASE REPORT We present a series of 3 clinical cases in which retroperitoneal hematomas occurred after instrumental deliveries. The 3 clinical cases described took place before the COVID-19 pandemic. In the first 2 deliveries, a vacuum was used, while in the third delivery, spatulas were used. CONCLUSIONS Our findings showed that suspicion is essential in patients with symptoms of nonspecific pain, as well as in patients with anemia that causes hemodynamic instability in the immediate postpartum period. The use of early computed tomography angiography in hemodynamically stable patients is essential to reach a diagnosis and to determine if the patient can be treated by embolization of the bleeding vessel.
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