{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:54Z","timestamp":1753876194332,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Spontaneous retroperitoneal haemorrhage (SRH) is a rare cause of retroperitoneal haemorrhage in patients who are on anticoagulants or antiplatelet agents or both.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report here a rare and catastrophic complication of use of anticoagulants and antiplatelet drugs in a case undergoing coronary angioplasty. The patient had multiple coronary risk factors and developed acute myocardial infarction with pulmonary oedema and hypotension during hospitalization for treatment of lower respiratory tract infection and diabetic ketoacidosis. He underwent successful angioplasty of the culprit vessel but later developed hypotension attributable to retroperitoneal haemorrhage. No bleeding site was identified despite extensive evaluation of the aorta and iliac vessels.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>A diagnosis of SRH is considered when a patient on anticoagulants or antiplatelet drugs develops retroperitoneal haemorrhage without any specific identifiable site of bleeding in the retroperitoneum. Diffuse vasculopathy and atherosclerosis or vasculitis of the small vessels in the retroperitoneum may result in rupture of the most friable vessels and result in bleeding. Intense cough, forceful vomiting or sneezing may also be responsible for traumatizing the vessels and resulting in bleeding. Most cases recover with conservative management but some may benefit from interventional occlusion of the leak or surgical decompression in cases of abdominal compartment syndrome.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab005","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T19:23:35Z","timestamp":1612812215000},"source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous retroperitoneal haemorrhage post-coronary angioplasty: a case report"],"prefix":"10.1093","volume":"5","author":[{"given":"Anshul Kumar","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sri Aggarsain International Hospital, Sector 22, Rohini, New Delhi 110086, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6265-7989","authenticated-orcid":false,"given":"Ajay","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sri Aggarsain International Hospital, Sector 22, Rohini, New Delhi 110086, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishabh","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sri Aggarsain International Hospital, Sector 22, Rohini, New Delhi 110086, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"key":"2021020806471406500_ytab005-B1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.12659\/AJCR.901622","article-title":"Antiplatelet therapy and spontaneous retroperitoneal hematoma: a case report and literature review","volume":"18","author":"Ibrahim","year":"2017","journal-title":"Am J Case Rep"},{"key":"2021020806471406500_ytab005-B2","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1111\/j.1742-1241.2007.01494.x","article-title":"Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery?","volume":"62","author":"Chan","year":"2007","journal-title":"Int J Clin Pract"},{"key":"2021020806471406500_ytab005-B3","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1080\/01443610802237288","article-title":"Spontaneous iliopsoas haematoma during heparin anticoagulation: cause of fetal loss","volume":"28","author":"Kurdoglu","year":"2008","journal-title":"J Obstet Gynaecol"},{"key":"2021020806471406500_ytab005-B4","doi-asserted-by":"crossref","first-page":"e157","DOI":"10.1016\/j.jemermed.2011.06.006","article-title":"Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome","volume":"43","author":"Sunga","year":"2012","journal-title":"J Emerg Med"},{"key":"2021020806471406500_ytab005-B5","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/j.jcin.2010.05.013","article-title":"Retroperitoneal hematoma after percutaneous coronary intervention: prevalence, risk factors, management, outcomes, and predictors of mortality: a report from the BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) registry","volume":"3","author":"Trimarchi","year":"2010","journal-title":"JACC Cardiovasc Interv"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/2\/ytab005\/36210911\/ytab005.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/2\/ytab005\/36210911\/ytab005.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T19:23:40Z","timestamp":1612812220000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab005\/6130224"}},"subtitle":[],"editor":[{"given":"Elad","family":"Asher","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Clea Simone Sabino","family":"de Souza Colombo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mohammad","family":"El Tahlawi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Gemina","family":"Doolub","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,2,1]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab005","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2021,2,1]]},"published":{"date-parts":[[2021,2,1]]},"article-number":"ytab005"}}