Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report
Abstract Background Spontaneous retroperitoneal hematoma (RPH) after cesarean section is an extremely rare disease with various causes, which can lead to unexplained maternal shock and death. Because cases of RPH are extremely rare in obstetric settings, there is also a paucity of literature. Case p...
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BMC
2025-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-025-07467-6 |
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| author | Jingwen Yu Mengge Ke Guangming Wang |
| author_facet | Jingwen Yu Mengge Ke Guangming Wang |
| author_sort | Jingwen Yu |
| collection | DOAJ |
| description | Abstract Background Spontaneous retroperitoneal hematoma (RPH) after cesarean section is an extremely rare disease with various causes, which can lead to unexplained maternal shock and death. Because cases of RPH are extremely rare in obstetric settings, there is also a paucity of literature. Case presentation This study reports a rare case of giant RPH after cesarean section. The patient underwent cesarean section due to severe preeclampsia at 38 weeks of gestation. The procedure was uneventful with little intraoperative bleeding, but a huge retroperitoneal hematoma developed 18 h after the operation and was successfully managed conservatively. Conclusions The treatment taste of retroperitoneal hematoma depends on the size of the hematoma, the etiology, and the hemodynamic status of the patient. For patients in stable condition, conservative treatment can be adopted, such as fluid infusion, blood transfusion, vascular embolization and hematoma drainage. |
| format | Article |
| id | doaj-art-4bfbcbf6cc7e40828cef6bba612ec384 |
| institution | Kabale University |
| issn | 1471-2393 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj-art-4bfbcbf6cc7e40828cef6bba612ec3842025-08-20T03:40:50ZengBMCBMC Pregnancy and Childbirth1471-23932025-03-012511510.1186/s12884-025-07467-6Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case reportJingwen Yu0Mengge Ke1Guangming Wang2Genetic Testing center, The First Affiliated Hospital of Dali UniversityThe First Affiliated Hospital of Zhengzhou UniversityGenetic Testing center, The First Affiliated Hospital of Dali UniversityAbstract Background Spontaneous retroperitoneal hematoma (RPH) after cesarean section is an extremely rare disease with various causes, which can lead to unexplained maternal shock and death. Because cases of RPH are extremely rare in obstetric settings, there is also a paucity of literature. Case presentation This study reports a rare case of giant RPH after cesarean section. The patient underwent cesarean section due to severe preeclampsia at 38 weeks of gestation. The procedure was uneventful with little intraoperative bleeding, but a huge retroperitoneal hematoma developed 18 h after the operation and was successfully managed conservatively. Conclusions The treatment taste of retroperitoneal hematoma depends on the size of the hematoma, the etiology, and the hemodynamic status of the patient. For patients in stable condition, conservative treatment can be adopted, such as fluid infusion, blood transfusion, vascular embolization and hematoma drainage.https://doi.org/10.1186/s12884-025-07467-6Caesarean sectionHuge retroperitoneal hematomaInterventional therapyCase report |
| spellingShingle | Jingwen Yu Mengge Ke Guangming Wang Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report BMC Pregnancy and Childbirth Caesarean section Huge retroperitoneal hematoma Interventional therapy Case report |
| title | Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report |
| title_full | Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report |
| title_fullStr | Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report |
| title_full_unstemmed | Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report |
| title_short | Conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia: a rare case report |
| title_sort | conservative management of giant retroperitoneal hematoma after cesarean section in severe preeclampsia a rare case report |
| topic | Caesarean section Huge retroperitoneal hematoma Interventional therapy Case report |
| url | https://doi.org/10.1186/s12884-025-07467-6 |
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