Idiopathic retroperitoneal hematoma is a rare, but potentially life threatening cause of an acute surgical abdomen. Hemoperitoneum is more frequent in women because of its association with a variety of gynecologic presentations such as reflux menstruation, ovulation, endometrial tissue. Retroperitoneal fluid collections and infection thieme connect. Midline retroperitoneal hematoma from diaphragmatic hiatus to distal to the aortic and ivc bifurcation. Improved surgical tollowing complete excision of setropreritoneal sarcomas. Chronic expanding hematoma in the retroperitoneal space. Traumatic retroperitoneal hematoma linkedin slideshare. Retroperitoneal hemorrhage an overview sciencedirect.
Retroperitoneal hemorrhage is most commonly seen as a complication of anticoagulation, either with low molecular weight heparin e. There were total 45 patients with retro peritoneal haematoma. Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients. Retroperitoneal hemorrhage an overview sciencedirect topics. Retroperitoneal hemorrhage radiology reference article. Surgical strate primary retroperitoneal tumours br j surgery, 76. Common causes are cardiac catheterization and trauma. Symptoms the patient may complain of intense flank pain or back pain. Idiopathic retroperitoneal hematoma pubmed central pmc.
A retroperitoneal bleed induced by enoxaparin therapy. Sep 06, 2012 retroperitoneal hematoma also known as retroperitoneal hemorrhage is a potentially lifethreatening condition. Traumatic retroperitoneal hematoma rph may arise from injury to bony structures, major blood vessels, and intestinal or retroperitoneal viscera. Peritoneo y cavidad peritoneal by prezi user on prezi. Familiarity with the ct and mr imaging features of various retroperitoneal masses will facilitate.
Axial ct image shows a large tumor with extensive areas of necrosis. Retroperitoneal hematoma rh can present as an acute life threatening condition, report on rh in lowincome countries. Traumatic retroperitoneal hematoma spreads through the interfascial planes volume 593, september 2005, pp 595608 2. Initially diagnosis may be overlooked, leading to unnecessary exploration, which may have implications for prognosis of the patient. Pdf severity, challenges, and outcome of retroperitoneal. Imaging of uncommon retroperitoneal masses rsna publications. Wed like to understand how you use our websites in order to improve them. An enhanced computer tomography ct scan of the abdomen is the principle method of diagnosis. Download fulltext pdf download fulltext pdf hematoma retroperitoneal espontaneo. Hemoperitoneum in a peritoneal dialysis patient from a retroperitoneal source hemoperitoneum in peritoneal dialysis patients is a known but infrequent complication. Retroperitoneal hematoma after cardiac catheterization.
Approach and management of traumatic retroperitoneal injuries. For a broader discussion, including other etiologies, please refer to the parental article on retroperitoneal hemorrhage. For spontaneous hematomas, it is important to keep a high index of suspicion in patients with. To investigate our case series of patients with primary retroperitoneal tumors over the past 10 years, analyzing clinical symptoms, diagnostic tests, tumor pathology, surgical data, concomitant cancer treatments, recurrence and survival rates. Mri axial plan showing a large, mixed density mass in the right side of the abdomen suggestive of a large retroperitoneal hematoma, with areas. May 17, 2008 spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare lifethreatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in association with bleeding disorders, intratumoral bleeding, or ruptures of any retroperitoneal organ or aneurysm. To categorize the management of rph, the retroperitoneum may be divided into three zones. Hematomes retroperitoneaux traumatiques urgences serveur.
Zones 2, or the lateral zones, are the areas between the diaphragm and the aortic bifurcation, delimited medially by the renal vessels and laterally with toldts. Retroperitoneal rp hematoma or hemorrhage is a rare but potentially lifethreatening diagnosis. It can be traumatic or nontraumatic spontaneous with signs and symptoms of flank or abdominal pain, hematuria and shock. Signs the patient may develop tachycardia and hypotension if the rate of hemorrhage is rapid. However, presentation is often nonspecific with a lack of. Rarely, later in the course, the patient may develop. Caso clinico carlos alvarez z1,3, cesar cerda ca, andres jadue tb, francisco rojas rb, millarai abelleira pc, carlos hermansen t2,3, francisco gatica j1,3.
T olga muftuoglu 1, umit t opaloglu 1, ali aktekin 1, mehmet odabasi 1, mehmet ates 2, abdullah saglam 1 scand j trauma resusc emer g med 2004. Get a printable copy pdf file of the complete article 4. Hemoperitoneum in a peritoneal dialysis patient from a. Traumatic retroperitoneal hematoma spreads through the interfascial planes j trauma. Pdf the management of retroperitoneal hematomas researchgate. The management of retroperitoneal hematoma secondary to penetrating injuries. Retroperitoneal bleeding refers to an accumulation of blood found in the retroperitoneal space. Spontaneous retroperitoneal hematoma causing abdominal pain and hemorrhagic shock. Retroperitoneal hemorrhage can be a source of significant yet occult blood loss. Retrospective analysis of 37 patients with primary retroperitoneal tumors diagnosed at our hospital over the past 10 years.
Zone i retroperitoneal hematoma identified by computed. Zone i retroperitoneal hematoma identified by computed tomography scan as an indicator of significant abdominal injury. Zone 1 central extends from the esophageal hiatus to the sacral promontory. Report of one case spontaneous retroperitoneal hematoma is a rare condition. Background in the early 1980s, sheldon introduced a treatment principle founded on a locationbased classification of traumatic rh as 1. Pattern of presentation of retroperitoneal hematoma among. The clinical features are varied depending on the amount of hemorrhage present, rate of onset and ability of the surrounding structures to contain the hemostatic system. Causes, diagnosis and management dr maha khalid al madi urology resident kfhu khobar saudi arabia 2010 slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Hematoma, urinoma, lymphocele, pancreatic pseudocyst, nonpancreatic. Spontaneous retroperitoneal hemorrhage is a distinct clinical entity that can present as a rare lifethreatening event characterized by sudden onset of bleeding into the retroperitoneal space, occurring in association with bleeding disorders, intratumoral bleeding, or ruptures of any retroperitoneal organ or aneurysm. Midline retroperitoneal hematoma from diaphragmatic hiatus to distal to.
En france, les hematomes retroperitoneaux hrp sont principalement dus a. Haemorrhage within the retroperitoneal area may be massive and may exceed 2000 ml of blood. Quelles sont les lesions retroperitoneales non primitives pouvant simuler une trp. Gigantic retroperitoneal hematoma as a complication of. Compilacion sobre tumores retroperitoneales autores. Despite all the advances in the fi elds of technology and surgical techniques, retroperitoneal hematoma caused by the penetrating and blunt injuries still remains. Spontaneous retroperitoneal hemorrhage srh is a distinctive clinical pathology of retroperitoneal bleeding without a preceding history of trauma.
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