AdministratorWhat can cause a retroperitoneal hematoma?
Retroperitoneal hematoma can occur with trauma, surgical or other procedural manipulations, or spontaneously in patients who are on anticoagulation or antiplatelet therapy. They may also be a result of vascular retroperitoneal lesions such as cysts, aneurysms, tumors, or lipomas [3,4].
How is retroperitoneal hematoma treated?
Management. Retroperitoneal hemorrhage can be managed conservatively in most cases by aggressive fluid resuscitation, correction of coagulopathy, and transfusion of packer red blood cells to maintain hematocrit. The patient should be placed on bed rest and undergo serial abdominal exams.
How do you manage retroperitoneal bleeding?
Why is kidney called retroperitoneal?
The kidneys are considered “retroperitoneal” organs, which means they sit behind a lining in the abdominal cavity, unlike all other abdominal organs.
Can a CT scan show retroperitoneal hematoma?
CT scan CT scan of the abdomen and pelvis can help establish the diagnosis of retroperitoneal hematoma (Fig. 29.7) and determine whether there is ongoing bleeding (active contrast extravasation) or not. Sign in to download full-size image Figure 29.7.
What is the initial approach to the treatment of retroperitoneal hematoma?
The initial approach to the patient with presumed blood loss due to pelvic injury is external pelvic fixation/binding, which may help to slow or tamponade the bleeding. Definitive management is by angiographic embolization of the bleeding vessels. [10] Non-traumatic Retroperitoneal Hematoma
What causes a large hematoma in the retroperitoneum?
a large hematoma in the retroperitoneum may be seen may show indirect evidence of displacement of retroperitoneal structures the presence of an abdominal aortic aneurysm with peri-aortic hemorrhage could favor a ruptured aortic aneurysm as the cause
What are the signs and symptoms of retroperitoneal hematoma?
Inguinal tenderness and swelling following the femoral approach are noted as being present in a majority of retroperitoneal hematoma cases in one study. Another common finding reported is that of femoral neuropathy, likely caused by nerve compression due to hematoma formation.