Spontaneous Retroperitoneal Hematoma due to Liver Cirrhosis - A Case Report -

Korean J Hepatol > Volume 3(1); 1997 > Article

The Korean Journal of Hepatology 1997;3(1): 70-77.

증례보고 : 간경변증 환자에서 발생한 자발성 후복막강 혈종 ( Case Reports : Spontaneous Retroperitoneal Hematoma due to Liver Cirrhosis - A Case Report - )

Spontaneous Retroperitoneal Hematoma due to Liver Cirrhosis - A Case Report -

Dong Ho Kim , Duck Yeii Choi , Suk Ju Lee , Sang Min Woo , Kwang Il Kim , Hong Sung Kim

ABSTRACT

Spontaneous retroperitoneal hemorrhage due to liver cirhosis associated with impaired coagulopathy is very rare disease. Spontaneous retroperitoneal hemorrhage has been recorded as having originated from many retroperitoneal organs and blood vessels, and it may be due to local disease and/or systemic factors. In the majority of patients the bleeding arose from the kidney or adrenal gland. Among the systemic causes of spontaneous retroperitoneal hemorrhage are anticoagulation therapy and chronic hemodialysis during the course of which hemorrhagic complications may occur at many site, including the retroperitoneal space. Blood dyscrasias have been a rare cause of spontaneous retroperitoneal hemorrhage. Conditions reported have been included hemophilia, leukemia, polycythemia and sickle cell trait. Virtually every hemostatic function may be impaired in patients with severe hepatic disease as the result of failure of both the biosynthetic and clearence function of the liver, thrombocytopenia, platelet dysfunction, intravascular coagulation and fibrinogenolysis, and the effects of products of fibrinogen catabolism on the coagulation mechanism. We are reporting a case of spontaneous retroperitoneal hematoma in a patient with alcoholic liver cirrhosis with brief review of literature.

KeyWords: Spontaneous retroperitoneal hematoma , Liver cirrhosis , Coagulopathy