{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:40:58Z","timestamp":1787020858349,"version":"build-2736575974"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retroperitoneal hematoma after vaginal delivery is rare but can lead to maternal morbidity and mortality. Diagnosis of this condition is challenging due to its complexity and its nonspecific signs and symptoms. To date, studies and case reports regarding retroperitoneal hematoma are few, particularly in low-income countries where risk factors for this condition may be more prevalent and the prognosis poorer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report the case of a 37-year-old multiparous african (Congolese) woman who presented to the emergency department of a large referral hospital in Bukavu, Democratic Republic of the Congo (DRC), 2\u00a0weeks after a spontaneous nontraumatic vaginal delivery. She had abdominal pain that began immediately after delivery and progressed throughout the postpartum period. The patient had anemia, hypotension, tachycardia, and a left costo-lumbar arch distorting the body shape on a soft and depressed abdomen. She had visited a private clinic on days 3 and 7 postpartum; however, signs and symptoms of retroperitoneal hematoma went unrecognized. Using abdominal ultrasound, we diagnosed an extensive hematoma in the retroperitoneal space from the left iliac fossa to the left flank. Laparotomy was performed to evacuate the hematoma, and the patient recovered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Retroperitoneal hematoma following a nontraumatic vaginal delivery is an unusual situation in general obstetrical practice. The knowledge of this potentially life-threatening condition in resource-limited settings enables effective diagnosis and management by ultrasound and laparotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13256-021-02870-x","type":"journal-article","created":{"date-parts":[[2021,5,23]],"date-time":"2021-05-23T19:04:18Z","timestamp":1621796658000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Large retroperitoneal hematoma following vaginal delivery: a case report"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4630-4854","authenticated-orcid":false,"given":"Raha","family":"Maroyi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nyakio","family":"Ngeleza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiminyi","family":"Kalunga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cikwanine","family":"Buhendwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama","family":"Shahid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Boij","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Mukwege","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"issue":"6","key":"2870_CR1","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1016\/j.jogc.2017.08.045","volume":"40","author":"F Alturki","year":"2018","unstructured":"Alturki F, Ponette V, Boucher LM. Spontaneous retroperitoneal hematomas following uncomplicated vaginal deliveries: a case report and literature review. J Obstet Gynaecol Can. 2018;40(6):712\u20135.","journal-title":"J Obstet Gynaecol Can"},{"issue":"1","key":"2870_CR2","doi-asserted-by":"publisher","first-page":"205427041774605","DOI":"10.1177\/2054270417746059","volume":"9","author":"J Rafi","year":"2018","unstructured":"Rafi J, Khalil H. Maternal morbidity and mortality associated with retroperitoneal hematomas in pregnancy. JRSM Open. 2018;9(1):2054270417746059.","journal-title":"JRSM Open."},{"issue":"1","key":"2870_CR3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1515\/crpm-2014-0039","volume":"4","author":"B Kaya","year":"2015","unstructured":"Kaya B. Paravesical and broad ligament hematoma after vaginal delivery. Case Rep Perinatal Med. 2015;4(1):17\u201320.","journal-title":"Case Rep Perinatal Med."},{"issue":"3","key":"2870_CR4","doi-asserted-by":"publisher","first-page":"e61","DOI":"10.1016\/j.gyobfe.2011.01.002","volume":"39","author":"S Vanlieferinghen","year":"2011","unstructured":"Vanlieferinghen S, Piketty M, Blumental Y, Jouannic JM, Desfeux P, Benifla JL. H\u00e9matome r\u00e9trop\u00e9riton\u00e9al g\u00e9ant p\u00e9ripartum d\u2019un accouchement normal,\u00abexpectative attitude\u00bb. Gynecol Obstet Fertil. 2011;39(3):e61\u20133.","journal-title":"Gynecol Obstet Fertil"},{"issue":"3","key":"2870_CR5","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/s00404-009-1282-y","volume":"281","author":"J Rafi","year":"2010","unstructured":"Rafi J, Muppala H. Retroperitoneal haematomas in obstetrics: literature review. 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Korean J Obstet Gynecol. 2011;54:314\u20136.","journal-title":"Korean J Obstet Gynecol"},{"issue":"4","key":"2870_CR8","first-page":"196","volume":"8","author":"DM Sherer","year":"1999","unstructured":"Sherer DM, Dayal AK, Schwartz BM, Oren R, Abulafia O. Extensive spontaneous retroperitoneal hemorrhage: an unusual complication of heparin anticoagulation during pregnancy. J Matern Fetal Med. 1999;8(4):196\u20139.","journal-title":"J Matern Fetal Med"},{"issue":"4","key":"2870_CR9","doi-asserted-by":"publisher","first-page":"1174","DOI":"10.1007\/s00270-012-0504-z","volume":"36","author":"JC Gentric","year":"2013","unstructured":"Gentric JC, Koch G, Lesoeur M, Hebert T, Nonent M. Diagnosis and management of puerperal hematomas: two cases. 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Int J Clin Pract. 2008;62(10):1604\u201313.","journal-title":"Int J Clin Pract"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02870-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-02870-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02870-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T03:56:55Z","timestamp":1672199815000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02870-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,24]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2870"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02870-x","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,24]]},"assertion":[{"value":"20 September 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"290"}}