{"id":"https://openalex.org/W7224007192","doi":"https://doi.org/10.7759/cureus.118653","title":"Anticoagulation-Associated Spontaneous Retroperitoneal Hemorrhage Complicated by Abdominal Compartment Syndrome and Multiorgan Failure: A Case Report","display_name":"Anticoagulation-Associated Spontaneous Retroperitoneal Hemorrhage Complicated by Abdominal Compartment Syndrome and Multiorgan Failure: A Case Report","publication_year":2026,"publication_date":"2026-10-26","ids":{"openalex":"https://openalex.org/W7224007192","doi":"https://doi.org/10.7759/cureus.118653"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.118653","doi":"https://doi.org/10.7759/cureus.118653","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118653","pdf_url":"https://www.cureus.com/articles/545624-anticoagulation-associated-spontaneous-retroperitoneal-hemorrhage-complicated-by-abdominal-compartment-syndrome-and-multiorgan-failure-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/545624-anticoagulation-associated-spontaneous-retroperitoneal-hemorrhage-complicated-by-abdominal-compartment-syndrome-and-multiorgan-failure-a-case-report.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018532352","display_name":"Ibrahim A Alnashri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ibrahim Alnashri","raw_affiliation_strings":[". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016316007","display_name":"Hazim Alzhoufui","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hazim Alzhoufui","raw_affiliation_strings":[". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159899858","display_name":"Osama Alattas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Osama Alattas","raw_affiliation_strings":[". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159853858","display_name":"Badr Aljedaani","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Badr Aljedaani","raw_affiliation_strings":[". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080808772","display_name":"Mohamed Hassan Laimoud","orcid":"https://orcid.org/0000-0002-5069-2813","observed_orcids":["https://orcid.org/0000-0002-5069-2813"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed Laimoud","raw_affiliation_strings":[". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Cardiac Surgery Critical Care , Prince Sultan Cardiac Centre , Riyadh , SAU","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89140776,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13878","display_name":"Case Reports on Hematomas","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13878","display_name":"Case Reports on Hematomas","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12548","display_name":"Hemostasis and retained surgical items","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spontaneous-retroperitoneal-hemorrhage","display_name":"spontaneous retroperitoneal hemorrhage","score":0.9890000224113464},{"id":"https://openalex.org/keywords/abdominal-compartment-syndrome","display_name":"abdominal compartment syndrome","score":0.9409999847412109},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.8230000138282776},{"id":"https://openalex.org/keywords/warfarin","display_name":"warfarin","score":0.8889999985694885},{"id":"https://openalex.org/keywords/enoxaparin","display_name":"enoxaparin","score":0.9629999995231628},{"id":"https://openalex.org/keywords/multiple-organ-failure","display_name":"multiple organ failure","score":0.8880000114440918},{"id":"https://openalex.org/keywords/intra-abdominal-pressure","display_name":"intra-abdominal pressure","score":0.7459999918937683},{"id":"https://openalex.org/keywords/transcatheter-arterial-embolization","display_name":"transcatheter arterial embolization","score":0.8420000076293945},{"id":"https://openalex.org/keywords/stent-graft","display_name":"covered stent","score":0.7749999761581421},{"id":"https://openalex.org/keywords/hemostatic-resuscitation","display_name":"hemostatic resuscitation","score":0.7900000214576721},{"id":"https://openalex.org/keywords/protamine","display_name":"protamine","score":0.8700000047683716},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.652999997138977},{"id":"https://openalex.org/keywords/valvular-heart-disease","display_name":"valvular heart disease","score":0.9139999747276306},{"id":"https://openalex.org/keywords/hemorrhagic-shock","display_name":"hemorrhagic shock","score":0.6639999747276306},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.5550000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9907000064849854},{"id":"https://openalex.org/C2778931659","wikidata":"https://www.wikidata.org/wiki/Q4665123","display_name":"Abdominal compartment syndrome","level":3,"score":0.7623000144958496},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6150000095367432},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.4869999885559082},{"id":"https://openalex.org/C2776422910","wikidata":"https://www.wikidata.org/wiki/Q612681","display_name":"Anuria","level":2,"score":0.4462999999523163},{"id":"https://openalex.org/C2777297230","wikidata":"https://www.wikidata.org/wiki/Q7317047","display_name":"Retroperitoneal hemorrhage","level":2,"score":0.424699991941452},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.42410001158714294},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.39739999175071716},{"id":"https://openalex.org/C2776301958","wikidata":"https://www.wikidata.org/wiki/Q407431","display_name":"Warfarin","level":3,"score":0.38190001249313354},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.3711000084877014},{"id":"https://openalex.org/C2911105935","wikidata":"https://www.wikidata.org/wiki/Q1144114","display_name":"Arterial Embolization","level":3,"score":0.3483999967575073},{"id":"https://openalex.org/C2776035437","wikidata":"https://www.wikidata.org/wiki/Q1144114","display_name":"Embolization","level":2,"score":0.33709999918937683},{"id":"https://openalex.org/C178853913","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Hemodynamics","level":2,"score":0.32659998536109924},{"id":"https://openalex.org/C513090587","wikidata":"https://www.wikidata.org/wiki/Q426449","display_name":"Interventional radiology","level":2,"score":0.32519999146461487},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.3197000026702881},{"id":"https://openalex.org/C2776652129","wikidata":"https://www.wikidata.org/wiki/Q475069","display_name":"Embolectomy","level":3,"score":0.3174999952316284},{"id":"https://openalex.org/C2776371345","wikidata":"https://www.wikidata.org/wiki/Q5121708","display_name":"Circulatory collapse","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.31060001254081726},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.30379998683929443},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.29670000076293945},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.290800005197525},{"id":"https://openalex.org/C2777185221","wikidata":"https://www.wikidata.org/wiki/Q275466","display_name":"Embolism","level":2,"score":0.2906000018119812},{"id":"https://openalex.org/C2778623998","wikidata":"https://www.wikidata.org/wiki/Q577238","display_name":"Retroperitoneal space","level":2,"score":0.2644999921321869},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.25589999556541443}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.7759/cureus.118653","doi":"https://doi.org/10.7759/cureus.118653","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118653","pdf_url":"https://www.cureus.com/articles/545624-anticoagulation-associated-spontaneous-retroperitoneal-hemorrhage-complicated-by-abdominal-compartment-syndrome-and-multiorgan-failure-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.7759/cureus.118653","doi":"https://doi.org/10.7759/cureus.118653","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.118653","pdf_url":"https://www.cureus.com/articles/545624-anticoagulation-associated-spontaneous-retroperitoneal-hemorrhage-complicated-by-abdominal-compartment-syndrome-and-multiorgan-failure-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224007192.pdf","grobid_xml":"https://content.openalex.org/works/W7224007192.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1972677771","https://openalex.org/W2002336204","https://openalex.org/W2019456090","https://openalex.org/W2113955870","https://openalex.org/W2902233584","https://openalex.org/W2938459856","https://openalex.org/W3168473123","https://openalex.org/W4389166035","https://openalex.org/W4399021509","https://openalex.org/W4413812708"],"related_works":["https://openalex.org/W2034597838","https://openalex.org/W2120793640","https://openalex.org/W2100213489","https://openalex.org/W2965798842","https://openalex.org/W3128065166","https://openalex.org/W3090280272","https://openalex.org/W7129598378","https://openalex.org/W7203731046","https://openalex.org/W3135324900","https://openalex.org/W1202845938"],"abstract_inverted_index":{"Spontaneous":[0],"retroperitoneal":[1,119],"hemorrhage":[2,210],"(SRH)":[3],"complicated":[4],"by":[5,179],"abdominal":[6,92,97],"compartment":[7],"syndrome":[8],"(ACS)":[9],"presents":[10],"a":[11,22,52,69,116,143],"significant":[12],"management":[13,196],"challenge":[14],"in":[15],"anticoagulated":[16],"patients.We":[17],"report":[18],"the":[19,77,111,174,220,227,249],"case":[20,234],"of":[21,51,59,68,142,198,251],"52-year-old":[23],"woman":[24],"with":[25,42,128,190],"complex":[26],"valvular":[27],"heart":[28,45],"disease,":[29],"atrial":[30],"fibrillation,":[31],"previous":[32],"cerebrovascular":[33],"accident,":[34],"and":[35,83,93,101,140,154,166,182,185,206,247,254],"chronic":[36],"warfarin":[37],"therapy":[38],"who":[39],"was":[40,47,64,74,163],"admitted":[41],"acute":[43],"decompensated":[44],"failure.Warfarin":[46],"withheld":[48],"following":[49,175,211,221,258],"detection":[50],"markedly":[53],"supratherapeutic":[54],"international":[55],"normalized":[56],"ratio":[57],"(INR)":[58],"approximately":[60,81,86,107],"8.":[61],"Vitamin":[62],"K":[63],"not":[65,241],"administered":[66],"because":[67,197],"documented":[70],"phytonadione":[71],"allergy.Therapeutic":[72],"enoxaparin":[73,113],"initiated":[75],"when":[76],"INR":[78],"decreased":[79],"to":[80,168],"2.1":[82],"continued":[84,223],"for":[85,208],"five":[87],"days.The":[88],"patient":[89,228],"subsequently":[90],"developed":[91],"flank":[94],"pain,":[95],"progressive":[96],"distension,":[98],"severe":[99],"anemia,":[100],"hemorrhagic":[102],"shock.Computed":[103],"tomography":[104],"(CT),":[105],"performed":[106],"seven":[108],"hours":[109],"after":[110],"final":[112],"dose,":[114],"revealed":[115],"massive":[117],"right":[118,144],"hematoma":[120],"measuring":[121],"26.3":[122],"\u00d7":[123,125],"15.7":[124],"12.6":[126],"cm":[127],"multifocal":[129],"active":[130],"arterial":[131,137],"extravasation.Hemostatic":[132],"resuscitation,":[133],"protamine":[134],"administration,":[135],"transcatheter":[136],"embolization":[138],"(TAE),":[139],"placement":[141],"external":[145],"iliac":[146],"covered":[147],"stent":[148],"achieved":[149],"angiographic":[150,238],"hemostasis.However,":[151],"refractory":[152,231],"shock":[153],"multiorgan":[155,232],"dysfunction":[156,257],"persisted.After":[157],"intervention,":[158],"transvesical":[159],"intra-abdominal":[160],"pressure":[161],"(IAP)":[162],"23":[164],"mmHg":[165,170],"increased":[167],"26":[169],"on":[171,218],"repeat":[172],"measurement":[173],"day.These":[176],"findings,":[177],"accompanied":[178],"new-onset":[180],"anuria":[181],"worsening":[183],"respiratory":[184],"circulatory":[186],"failure,":[187],"were":[188],"consistent":[189],"ACS.The":[191],"surgical":[192,212],"team":[193,214],"recommended":[194],"conservative":[195],"profound":[199],"hemodynamic":[200],"instability":[201],"requiring":[202],"maximal":[203],"vasopressor":[204],"support":[205],"concern":[207],"recurrent":[209],"decompression.The":[213],"maintained":[215],"this":[216],"recommendation":[217],"reassessment":[219],"day.Despite":[222],"intensive":[224],"care":[225],"support,":[226],"died":[229],"from":[230],"failure.This":[233],"highlights":[235],"that":[236],"successful":[237],"hemostasis":[239],"does":[240],"necessarily":[242],"translate":[243],"into":[244],"physiological":[245],"recovery":[246],"emphasizes":[248],"importance":[250],"assessing":[252],"IAP":[253],"persistent":[255],"organ":[256],"endovascular":[259],"intervention.":[260]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-28T00:00:00"}
