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10.1002/ams2.385

http://scihub22266oqcxt.onion/10.1002/ams2.385
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suck abstract from ncbi


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pmid30976445      Acute+Med+Surg 2019 ; 6 (2): 180-184
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  • Delayed retroperitoneal hemorrhage during veno-venous extracorporeal membrane oxygenation: a case report #MMPMID30976445
  • Sugiura G; Bunya N; Yamaoka A; Okuda H; Saito M; Mizuno H; Inoue H; Narimatsu E
  • Acute Med Surg 2019[Apr]; 6 (2): 180-184 PMID30976445show ga
  • CASE: There are several reports of retroperitoneal hemorrhage induced by percutaneous femoral cannulation for extracorporeal membrane oxygenation (ECMO). However, there are no reports of delayed retroperitoneal hemorrhage, which develops a few days after ECMO initiation and is unrelated to the ECMO cannulation. Herein, we report a rare case of delayed retroperitoneal hemorrhage during veno-venous extracorporeal membrane oxygenation (VV-ECMO). OUTCOME: A 54-year-old man was referred to our hospital because of severe acute respiratory distress syndrome. We initiated VV-ECMO. The patient had severe delirium and was confined to a long-term supine position to maintain circuit safety. On day 13, computed tomography unexpectedly revealed a large retroperitoneal hemorrhage spreading around the psoas muscle. CONCLUSION: Delayed retroperitoneal hemorrhage can develop during VV-ECMO management a few days after its initiation. Anticoagulant use and forceful muscular strain could be risk factors of delayed retroperitoneal hemorrhage.
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