Obstructive uropathy associated with a Retzius space hematoma following postpartum pulmonary embolism

Background: To report on a case of acute renal failure associated with Retzius space hematoma that had been extended to retroperitoneal space, following pulmonary embolism treatment in the postpartum period. Case report: A 30-year-old woman was transferred hospital for syncope first postoperative day cesarean section. There were no active vaginal bleeding or intra-abdominal bleeding. On diagnosis embolism, she treated extracorporeal membrane oxygenation heparinization. 4, ultrasonography showed newly developed at anterior side uterus, and transarterial embolization performed. 5, kidney injury but there increase size ultrasonography. She recovered after 3 days replacement therapy. However, 10, tachycardia increased serum creatinine. Computed tomography revealed not only 15-cm also another 17-cm under left kidney. Exploratory laparotomy performed obstructive uropathy hematomas evacuated. The patient’s vital sign stabilized one surgery. Conclusion: When treating patients physicians should be aware possibility concealed hemorrhage subsequent injury.