Retroperitoneal haematoma in a postoperative ALIF patient taking rivaroxaban for atrial fibrillation

ConclusionThis is the first case of a rivaroxaban-induced retroperitoneal haematoma reported in the literature, secondary to elective spinal surgery. This report adds to the body of evidence on the risk of postoperative bleeding in patients taking NOACs. If patients on NOACs present with abdominal symptoms following anterior approach to the lumbar spine, treating clinicians should have a high index of suspicion for retroperitoneal haematoma.
Source: European Spine Journal - Category: Orthopaedics Source Type: research