Retroperitoneal Hemorrhage
E. Rene Rodriguez Cleveland Clinic Cleveland, Ohio
Click on slide thumbnail images for an enlarged view.
If you have any difficulties viewing these slides, email the webmaster.
Click here to download handout in 1-up pdf format for the current section (8.15 MB) Click here to download handout in 6-up pdf format for the current section (4.29 MB)
Clinical History
A 66-year-old female patient presented to an outside hospital with worsening abdominal pain, and found to have multiple intraabdominal aneurysms on angiography. She developed retroperitoneal hemorrhage that required bowel resection. A biopsy of the superior mesenteric artery was read as polyarteritis nodosa. She was treated with steroids. Postoperative course was complicated by intra-abdominal abscess and anastomotic leak requiring multiple surgeries. She also developed steroid-induced diabetes mellitus and glaucoma. She was transferred to Cleveland Clinic 3 months after the initial presentation.
On admission to CC, no new or prior symptoms suggestive of multiorgan system involvement were noted. Serologic studies were normal (ESR, CRP, C3, C4). Hepatitis B and C antibodies were negative. A review of the outside slides was requested.
Click here
Click to view with ImageScope
Click to view with a Web-Based Viewer
