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73 Possible Causes for Hemoglobin Decreased, Pelvic Hematoma

  • Ectopic Pregnancy

    To illustrate a laparoscopic technique for the resection of cesarean scar ectopic pregnancy, associated with isthmocele repair. Case report (Canadian Task Force classification III). A tertiary referral center in Strasbourg, France. Cesarean scar pregnancy is a rare form of ectopic pregnancy. The major risk of this[…][ncbi.nlm.nih.gov]

  • Penetrating Abdominal Trauma

    Abstract The role of limited "one-shot" intravenous pyelogram (IVP) in patients sustaining proximity penetrating trauma is not well defined, although formal IVP remains the "gold standard" for evaluating possible urological injuries. This retrospective review evaluates the efficacy and usefulness of limited one-shot[…][ncbi.nlm.nih.gov]

  • Retroperitoneal Hemorrhage

    Age, sex, presence of comorbidities, hemoglobin decrease, transfusion requirement, ICU stay, and length of ICU stay were recorded.[ncbi.nlm.nih.gov] Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[ncbi.nlm.nih.gov] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[medicalopedia.org]

  • Pelvic Fracture

    Primary outcome measures included decrease in hemoglobin (Hb) levels, number of packed red blood cell (pRBC) units transfused, and the need for hemorrhage control (operative[ncbi.nlm.nih.gov] […] large pelvic hematoma. 92 of 332 patients with severe pelvic fracture underwent angiography.[east.org] The pseudoaneurysm was successfully treated with selective coil embolization and hematoma evacuation.[ncbi.nlm.nih.gov]

  • Splenic Subcapsular Hematoma

    Altered Level of Consciousness ) Consider at 24-48 hours if high grade Splenic Injury (Grade 3 or higher) Indications for surgical intervention Continued Hemoglobin decrease[fpnotebook.com] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl] Fig. 1 Contrast-enhanced CT at admission (21 h after injury). a Severe intraparenchymal hematoma and multiple lacerations of the spleen were noted. b.[surgicalcasereports.springeropen.com]

  • Hepatic Rupture

    Hemoglobin levels decreased a few hours later and a computed tomography scan was performed which revealed a rupture of the right liver capsule and hemoperitoneum.[ncbi.nlm.nih.gov] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[radiologyassistant.nl] The hemoglobin level was slightly decreased to 9.9 g/dL and coagulation tests and platelets were normal.[e-sciencecentral.org]

  • Splenic Rupture

    Altered Level of Consciousness ) Consider at 24-48 hours if high grade Splenic Injury (Grade 3 or higher) Indications for surgical intervention Continued Hemoglobin decrease[fpnotebook.com] Following the CT, the radiologist immediately called with preliminary results concerning for splenic laceration and hematoma with hemorrhagic abdominal and pelvic ascites[westjem.com] The laboratory analysis revealed a decrease in her hemoglobin from 13.8 g/dl to 9 g/dl and a significant drop in her hematocrit.[wjes.biomedcentral.com]

  • Hemoperitoneum

    The main outcome - mean intraoperative hemoglobin decrease - was 1.5 - 1.2 g/dl in the laparoscopic and 1.9 ‚ -1.4 in the open approach (p 0.344).[ncbi.nlm.nih.gov] Do not explore pelvic hematomas. Use external fixation of pelvic fractures to reduce or stop blood loss in this region.[emedicine.medscape.com] The usual indications for surgical interventions are unstable vital signs, a significant hemoglobin decrease or increasing hemoperitoneum on a follow up imaging study, and[journals.plos.org]

  • Thrombotic Thrombocytopenic Purpura

    A brain computed tomography showed a subacute infarction in the left frontal lobe and an abdominal-pelvic computed tomography disclosed a retroperitoneal hematoma.[ncbi.nlm.nih.gov] A patient usually presents with thrombocytopenia and microangiopathic hemolytic anemia (i.e. schistocytes, elevated serum lactate dehydrogenase, decreased hemoglobin and haptoglobin[ncbi.nlm.nih.gov] At 30 weeks, the patient had multiple episodes of high blood pressure and concomitant decrease of hemoglobin and platelet count, so a cesarean section was immediately performed[ncbi.nlm.nih.gov]

  • Pelvic Hematoma

    There was no drop in hemoglobin. On serial USG pelvis clot size decreased to 4 cm 3 cm 2 cm after 1 month.[urologyannals.com] Obstructive uropathy is a very rare but possible example of complication secondary to an extensive pelvic hematoma.[ncbi.nlm.nih.gov] A pelvic hematoma should be suspected in patients with iliac vein obstruction after blunt pelvic trauma even in the absence of fractures.[ncbi.nlm.nih.gov]

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