<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282022000200116</article-id>
<article-id pub-id-type="doi">10.29315/gm.v9i2.507</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Hematoma Retroperitoneal Espontâneo: A Experiência de um Centro]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous Retroperitoneal Hematoma: A Single Center Experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Bárbara Beirão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreira]]></surname>
<given-names><![CDATA[Ana Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar de Trás-os-Montes e Alto Douro Hospital de Vila Real Serviço de Medicina Interna]]></institution>
<addr-line><![CDATA[Vila Real ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>116</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282022000200116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282022000200116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282022000200116&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O hematoma retroperitoneal espontâneo (HRE) é uma entidade rara e potencialmente fatal, classicamente descrita como uma complicação da terapêutica anticoagulante. Pode constituir um desafio diagnóstico, dada a heterogeneidade das manifestações clínicas. O objetivo deste estudo é caracterizar uma população de doentes com HRE e identificar fatores preditores de mortalidade.  Métodos:  Estudo retrospetivo incluindo todos os doentes admitidos num hospital distrital num período de 10 anos (2010-2019) com diagnóstico de HRE. Foram excluídos doentes com história de traumatismo, procedimentos invasivos ou cirurgias nos 14 dias anteriores.  Resultados:  Foram incluídos 11 doentes; 63,6% eram homens. A idade mediana foi 81 anos. Nove doentes estavam hipocoagulados: 5 com antagonistas da vitamina K, 4 com enoxaparina. O HRE foi o motivo primário de admissão em 45,5% dos casos. Nos restantes, constituiu uma intercorrência de um internamento por outra causa. A apresentação clínica mais comum foi dor abdominal (45,5%), seguida de sintomas de baixo débito (36,4%). Três doentes apresentavam um INR supraterapêutico. Todos os doentes foram tratados de forma conservadora. A mortalidade global aos 30 dias foi 36,4%; a mortalidade intra-hospitalar foi 54,5%. O HRE foi considerado a causa direta da morte em apenas 18,2%. O único fator que se associou a maior mortalidade foi o agravamento da função renal (p=0,029).  Conclusão:  O HRE ocorre sobretudo em doentes idosos e hipocoagulados. Associa-se a elevada mortalidade, mas tipicamente não é a causa direta da morte. É difícil identificar fatores preditores de mortalidade, parecendo, contudo, que o agravamento da função renal se associa a maior risco.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Spontaneous retroperitoneal hematoma (SRH) is a rare and potentially fatal entity usually described as a complication of anticoagulant therapy. It can be a diagnostic challenge, given the heterogeneity of clinical manifestations. The objective of this study is to characterize a population of patients with SRH and to identify predictors of mortality.  Methods:  A retrospective study including all patients admitted to our hospital over a 10-year period (2010-2019) with diagnosis of SRH. Patients with a history of trauma, invasive procedures or surgeries in the previous 14 days were excluded.  Results:  Eleven patients were included; 63.6% were men. The median age was 81 years. Nine patients were anticoagulated: 5 with vitamin K antagonists, 4 with enoxaparin. SRH was the primary reason for admission in 45.5% of cases. The others developed SRH during inpatient admission. The most common clinical presentation was abdominal pain (45.5%), followed by symptoms of low output (36.4%). Three patients had a supratherapeutic INR. All patients were treated conservatively. The overall mortality at 30 days was 36.4%; in-hospital mortality was 54.5%. SRH was considered the direct cause of death in only 18.2%. The only factor we found to be associated with higher mortality was a decline in renal function (p=0.029).  Conclusion:  SRH occurs mainly in elderly and hypocoagulated patients. It is associated with high mortality, but typically is not the direct cause of death. It is difficult to identify predictors of mortality, however, it seems that a decline in renal function is associated with a higher risk.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Anticoagulantes/efeitos adversos]]></kwd>
<kwd lng="pt"><![CDATA[Espaço Retroperitoneal]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia]]></kwd>
<kwd lng="en"><![CDATA[Anticoagulants/adverse effects]]></kwd>
<kwd lng="en"><![CDATA[Hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Retroperitoneal Space]]></kwd>
</kwd-group>
</article-meta>
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