PDF(Pubmed)
Abstract：
Ureteral hematoma is a rare complication occurring during anticoagulant therapy, with fewer than 10 cases reported in the literature. Bleeding complications are underestimated. They affect about 10% of patients treated with long-term anti-vitamin K (AVK). The appearance of macroscopic hematuria may indicate the presence of underlying organic damage. Clinically, ureteral hematoma is manifested by lumbar or abdominal pain often associated with macroscopic hematuria. Imaging plays a major role in its diagnosis. Clinical and radiological evolution is always rapidly favorable after the correction of coagulation disorders and the immediate discontinuation of anticoagulant treatment. We report in this work the case of a patient in her 50s who presented a ureteral hematoma during her anticoagulant treatment.
摘要：
输尿管血肿是在抗凝治疗期间发生的罕见并发症，文献中报道的病例少于10例。出血并发症被低估了。它们影响约10％的长期抗维生素K（AVK）治疗的患者。肉眼血尿的出现可能表明存在潜在的有机损伤。临床上,输尿管血肿表现为腰椎或腹痛，常伴有肉眼血尿。影像学在其诊断中起主要作用。在纠正凝血障碍和立即停止抗凝治疗之后，临床和放射学演变总是迅速有利的。我们在这项工作中报告了一名50多岁的患者在抗凝治疗期间出现输尿管血肿的情况。
