DOI: 10.36347/sjmcr.2018.v06i08.020

Pages: 563-567

The retroperitoneal hematoma occurring after puncture is an uncommon and serious complication. Most incidents related to endovascular procedures are localized at the puncture spot. The possibility of retroperitoneal extension of the hematoma out of the femoral puncture zone is described in cases where it is performed above the inguinal line. The prognosis depends both on early diagnosis and on therapeutic care. We report the case of a 54-year-old woman admitted to the cardiology department for an myocardial infarctus, whose evolution after coronary angiography was marked by the occurrence of a hematoma at the puncture spot complicated by hemodynamic instability. A CT angiography has revealed the extension of the hematoma towards the retroperitoneum. Based on this clinical case, it is possible to focus on the clinical, iconographic and evolutionary aspects of this complication and to debate according to literature data.