Retroperitoneal hemorrhage is most commonly seen as a complication of anticoagulation, either with low molecular weight heparin e. Get a printable copy pdf file of the complete article 4. 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. Zone 1 central extends from the esophageal hiatus to the sacral promontory. Retroperitoneal hematoma rh can present as an acute life threatening condition, report on rh in lowincome countries.
Idiopathic retroperitoneal hematoma pubmed central pmc. For a broader discussion, including other etiologies, please refer to the parental article on retroperitoneal hemorrhage. 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. 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. Zone i retroperitoneal hematoma identified by computed tomography scan as an indicator of significant abdominal injury. The management of retroperitoneal hematoma secondary to penetrating injuries. Quelles sont les lesions retroperitoneales non primitives pouvant simuler une trp. Pdf severity, challenges, and outcome of retroperitoneal. Report of one case spontaneous retroperitoneal hematoma is a rare condition. Traumatic retroperitoneal hematoma linkedin slideshare.
Download fulltext pdf download fulltext pdf hematoma retroperitoneal espontaneo. Haemorrhage within the retroperitoneal area may be massive and may exceed 2000 ml of blood. Midline retroperitoneal hematoma from diaphragmatic hiatus to distal to. An enhanced computer tomography ct scan of the abdomen is the principle method of diagnosis.
Approach and management of traumatic retroperitoneal injuries. Sep 06, 2012 retroperitoneal hematoma also known as retroperitoneal hemorrhage is a potentially lifethreatening condition. The retroperitoneal space contains the kidneys, adrenal glands, pancreas, nerve roots, lymph. Symptoms the patient may complain of intense flank pain or back pain. Retroperitoneal hemorrhage radiology reference article.
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. Hemoperitoneum is more frequent in women because of its association with a variety of gynecologic presentations such as reflux menstruation, ovulation, endometrial tissue. Presented at the 56th annual meeting of the central surgical association, st. Spontaneous retroperitoneal hemorrhage srh is a distinctive clinical pathology of retroperitoneal bleeding without a preceding history of trauma. Familiarity with the ct and mr imaging features of various retroperitoneal masses will facilitate. 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. Spontaneous retroperitoneal hematoma causing abdominal pain and hemorrhagic shock. Compilacion sobre tumores retroperitoneales autores. Retroperitoneal hemorrhage definition of retroperitoneal.
Midline retroperitoneal hematoma from diaphragmatic hiatus to distal to the aortic and ivc bifurcation. There were total 45 patients with retro peritoneal haematoma. Imaging of uncommon retroperitoneal masses rsna publications. Hemoperitoneum in a peritoneal dialysis patient from a. However, presentation is often nonspecific with a lack of. Pattern of presentation of retroperitoneal hematoma among. Spontaneous retroperitoneal hematoma associated with enoxaparin and aspirin treatment. Wed like to understand how you use our websites in order to improve them.
Retroperitoneal hemorrhage an overview sciencedirect topics. Retroperitoneal rp hematoma or hemorrhage is a rare but potentially lifethreatening diagnosis. Surgical strate primary retroperitoneal tumours br j surgery, 76. Hematomes retroperitoneaux traumatiques urgences serveur. Common causes are cardiac catheterization and trauma. Zone i retroperitoneal hematoma identified by computed. Chronic expanding hematoma in the retroperitoneal space.
Peritoneo y cavidad peritoneal by prezi user on prezi. Improved surgical tollowing complete excision of setropreritoneal sarcomas. Rarely, later in the course, the patient may develop. Retroperitoneal hemorrhage an overview sciencedirect. Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients. Idiopathic retroperitoneal hematoma is a rare, but potentially life threatening cause of an acute surgical abdomen.
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. Despite all the advances in the fi elds of technology and surgical techniques, retroperitoneal hematoma caused by the penetrating and blunt injuries still remains. Retroperitoneal bleeding refers to an accumulation of blood found in the retroperitoneal space. To categorize the management of rph, the retroperitoneum may be divided into three zones. Axial ct image shows a large tumor with extensive areas of necrosis. Retrospective analysis of 37 patients with primary retroperitoneal tumors diagnosed at our hospital over the past 10 years. Pdf the management of retroperitoneal hematomas researchgate. The spontaneous form is the most infrequent retroperitoneal hemorrhage. 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. It can be traumatic or nontraumatic spontaneous with signs and symptoms of flank or abdominal pain, hematuria and shock. 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.
Traumatic retroperitoneal hematoma rph may arise from injury to bony structures, major blood vessels, and intestinal or retroperitoneal viscera. Signs the patient may develop tachycardia and hypotension if the rate of hemorrhage is rapid. En france, les hematomes retroperitoneaux hrp sont principalement dus a. Hematoma, urinoma, lymphocele, pancreatic pseudocyst, nonpancreatic. Background in the early 1980s, sheldon introduced a treatment principle founded on a locationbased classification of traumatic rh as 1. 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. Retroperitoneal hemorrhage can be a source of significant yet occult blood loss. For spontaneous hematomas, it is important to keep a high index of suspicion in patients with. Gigantic retroperitoneal hematoma as a complication of. Retroperitoneal fluid collections and infection thieme connect. Retroperitoneal hematoma after cardiac catheterization.