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  • Title: A late retroperitoneal hematoma mimicking acute appendicitis--an unusual complication of coronary angioplasty.
    Author: Haviv YS, Nahir M, Pikarski A, Shiloni E, Safadi R.
    Journal: Eur J Med Res; 1996 Nov 25; 1(12):591-2. PubMed ID: 9438169.
    Abstract:
    Peripheral vascular complications following coronary angiography and angioplasty are well established. They consist of arterial bleeding, occlusion, false aneurysm, and a-v fistula. Bleeding and thrombosis are usually evident within the twelve hours after the procedure. A case of acute right lower quadrant abdominal pain five days following thrombolytic therapy and percutaneous transluminal coronary angioplasty is presented. A computerized tomography was compatible with a periappendiceal inflammation, and the patient underwent laparotomy. A large retroperitoneal hematoma was the only positive finding on operation. A late complication of coronary angioplasty, such as retroperitoneal hematoma, presenting as an acute abdomen, should be a part of the differential diagnosis in such cases.
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