{"title":"一例Marfan综合征患者的骶部巨大慢性扩张性血肿","authors":"Naoto Shibasaki , Ko Hashimoto , Takahiro Onoki , Kohei Takahashi , Takuya Numasawa , Toshimi Aizawa","doi":"10.1016/j.joscr.2023.04.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Chronic expanding hematoma (CEH) is defined as a hematoma that gradually expands over more than one month following trauma or surgery. This report describes a rare case of giant CEH developed in the sacrum spreading toward the retroperitoneal space.</p></div><div><h3>Case presentation</h3><p>A 62-year-old female with Marfan syndrome complained of low back pain and urinary/fecal incontinence. She had surgeries for aortic aneurysm, and an anticoagulant treatment. At the age of 49 and 54, she had partial resection of a mass lesion in the sacrum extending to the retroperitoneal space. Another surgery was planned for the recurrent, giant mass lesion which was confirmed as CEH by a needle biopsy. The resection of CEH via combined posterior and anterior approach relieved her symptoms for two years after surgery.</p></div><div><h3>Conclusion</h3><p>CEH can develop as a massive mass lesion in the sacrum. Anticoagulants and Marfan syndrome could have negative effects on CEH.</p></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"2 3","pages":"Pages 57-60"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sacral giant chronic expanding hematoma in a patient with Marfan syndrome: A case report\",\"authors\":\"Naoto Shibasaki , Ko Hashimoto , Takahiro Onoki , Kohei Takahashi , Takuya Numasawa , Toshimi Aizawa\",\"doi\":\"10.1016/j.joscr.2023.04.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Chronic expanding hematoma (CEH) is defined as a hematoma that gradually expands over more than one month following trauma or surgery. This report describes a rare case of giant CEH developed in the sacrum spreading toward the retroperitoneal space.</p></div><div><h3>Case presentation</h3><p>A 62-year-old female with Marfan syndrome complained of low back pain and urinary/fecal incontinence. She had surgeries for aortic aneurysm, and an anticoagulant treatment. At the age of 49 and 54, she had partial resection of a mass lesion in the sacrum extending to the retroperitoneal space. Another surgery was planned for the recurrent, giant mass lesion which was confirmed as CEH by a needle biopsy. The resection of CEH via combined posterior and anterior approach relieved her symptoms for two years after surgery.</p></div><div><h3>Conclusion</h3><p>CEH can develop as a massive mass lesion in the sacrum. Anticoagulants and Marfan syndrome could have negative effects on CEH.</p></div>\",\"PeriodicalId\":100743,\"journal\":{\"name\":\"JOS Case Reports\",\"volume\":\"2 3\",\"pages\":\"Pages 57-60\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOS Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772964823000114\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOS Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772964823000114","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Sacral giant chronic expanding hematoma in a patient with Marfan syndrome: A case report
Background
Chronic expanding hematoma (CEH) is defined as a hematoma that gradually expands over more than one month following trauma or surgery. This report describes a rare case of giant CEH developed in the sacrum spreading toward the retroperitoneal space.
Case presentation
A 62-year-old female with Marfan syndrome complained of low back pain and urinary/fecal incontinence. She had surgeries for aortic aneurysm, and an anticoagulant treatment. At the age of 49 and 54, she had partial resection of a mass lesion in the sacrum extending to the retroperitoneal space. Another surgery was planned for the recurrent, giant mass lesion which was confirmed as CEH by a needle biopsy. The resection of CEH via combined posterior and anterior approach relieved her symptoms for two years after surgery.
Conclusion
CEH can develop as a massive mass lesion in the sacrum. Anticoagulants and Marfan syndrome could have negative effects on CEH.
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