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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Bilateral spontaneous retroperitoneal bleeding in a patient on nimesulide: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Iraklis C Mitsogiannis, Eleftherios Chatzidarellis, Andreas Skolarikos, Athanasios Papatsoris, Georgia Anagnostopoulou, Evangelos Karagiotis
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-568) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

ICM and EC were the major contributors in writing the manuscript. AS and GA collected the data and helped in drafting the manuscript. AP and EK diagnosed, managed and followed-up the patient and searched the literature. All authors read and approved the final manuscript.

Abstract

Introduction

Spontaneous retroperitoneal bleeding is a rare but potentially life-threatening event of varied etiology. Herein we report a case of bilateral non-traumatic retroperitoneal hemorrhage.

Case presentation

A 50-year-old Greek man, who was on a non-steroidal anti-inflammatory agent (nimesulide) for ankylosing spondylitis, presented with a right retroperitoneal hematoma combined with contralateral subcapsular renal hematoma. Bleeding on his right side was successfully controlled by arterial embolization with coils, whereas the left renal hematoma was treated conservatively. His recovery period was uneventful.

Conclusion

This is the first reported case of bilateral retroperitoneal bleeding in a patient receiving nimesulide for ankylosing spondylitis. The application of minimally invasive techniques resulted in the desired positive outcome with preservation of both renal units.

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