The patient is a 71-year-old male, with antiphospholipid syndrome in treatment with oral anticoagulants, who was hospitalized for scheduled cholecystectomy. During induction, hypotension (60/30mmHg) was observed with hemodynamic instability. Blood tests showed evidence of a drop in hemoglobin from 13.1g/dl to 9g/dl, and abdominal CT scan detected a mass measuring 8.6×12.5×11.2cm that occupied the root of the mesentery (Fig. 1), associated with free fluid. The patient was admitted to the ICU, where he became more anemic and required transfusion of 2 units of packed red blood cells. Ultrasound follow-up on the 10th day (Fig. 2) and CT after 20 days (Fig. 3) showed persistence of the mass that measured 8.7×10.5×12.4cm and absence of the free fluid that had been present on the initial study.
Please cite this article as: Peña Ros E, Ródenas Moncada FJ, Sánchez Cifuentes Á, Albarracín Marín-Blázquez A. Hematoma mesentérico espontáneo: un reto diagnóstico. Cir Esp. 2014;92:e61.
