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Case Reports in Medicine
Volume 2011, Article ID 373047, 5 pages
http://dx.doi.org/10.1155/2011/373047
Case Report

Fatal Retroperitoneal Bleeding Caused by Metastasis of a Sigmoid Carcinoma

Department of Surgery, VU University Medical Center, 1081 HV Amsterdam, The Netherlands

Received 19 January 2011; Revised 10 June 2011; Accepted 29 June 2011

Academic Editor: G. Pineo

Copyright © 2011 Cornelis G. Vos and Arjan W. J. Hoksbergen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Retroperitoneal bleeding is relatively rare and a potentially life-threatening condition with significant mortality. Early recognition requires a high index of suspicion. Increased life expectancy, the widespread use of anticoagulants, and the rise of endovascular interventions have caused an increase in the incidence of retroperitoneal bleeding. We present a case of a 74-year-old woman who died because of retroperitoneal bleeding caused by retroperitoneal metastasis of a sigmoid carcinoma with angioinvasive growth into a lumbar artery. In addition we discuss etiology, diagnostic management, and treatment strategy.