Detecting spontaneous retroperitoneal hemorrhage using a modified RUSH protocol: a case report.

ABSTRACT:

Introduction

Bleeding in the retroperitoneal space is a serious complication. Hypovolemia and shock develop late after losing a large volume of blood. However, point of care ultrasound (POCUS) examinations in adult patients with shock do not include the retroperitoneal space.

Case presentation

We present the case of a 74-year-old male with ischemic heart disease on dual antiplatelet. He developed vague abdominal pain and hemoglobin drop without overt bleeding source until he developed shock. Modified POCUS examination that included the retroperitoneal space detected the bleeding source and confirmed later by computerized tomography of the abdomen. The case was managed conservatively.

Clinical discussion

The risk factors associated with the formation of spontaneous ret

SUBMITTER: Bitar ZI 

PROVIDER: S-EPMC8857422 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature