Successful Conservative Management of Warfarin-Induced Coagulopathy in an Elderly Male with Spontaneous Retroperitoneal Hematoma: A Case Report and Literature Review

Abstract

Shirin Shams-Ghahfarokhi, Mohammadhossein Ghaedamini-Asadabadi and Amirhossein Ghaedamini-Asadabadi

Spontaneous retroperitoneal hematoma is a rare complication of anticoagulant therapy that often requires aggressive treatment. We report the case of an elderly male with a history of Pulmonary Thromboembolism (PTE) who presented with cough and dyspnea and was treated for exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and PTE. During his hospital stay, he developed a retroperitoneal hematoma as a complication of warfarin therapy. Despite the high risk of mortality and his advanced age, the patient was managed conservatively without the need for surgical intervention. With appropriate monitoring and supportive care, his hematoma resolved, and he was discharged in stable condition. This case underscores the potential for successful conservative management of warfarin-induced retroperitoneal hematomas in high-risk elderly patients.

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