The development of a retroperitoneal hematoma is a rare complication in gynecologic surgery.The literature on the condition is largely in the form of case reports describing its occurrence in relation to vaginal procedures.We report the case of a 40-year-old woman who had acute delayed-onset postoperative hemorrhage and retroperitoneal hematoma formation following an uncomplicated anterior colporrhaphy.She re-presented Half Zip to the hospital several hours after discharge, with severe pain and vaginal bleeding.On imaging, she was found to have a large pelvic hematoma that was displacing the uterus, with extraperitoneal free fluid and active contrast extravasation.
She underwent resuscitation and successful coil embolization of a small branch of the right uterine artery.This case report adds to the body of literature on the occurrence of retroperitoneal hematoma in vaginal surgery and underscores the importance of maintaining a high index of suspicion in Chairs w/Table Set (3/CN) individuals presenting with signs or symptoms suggestive of this diagnosis.