Retroperitoneal bleeding
| Retroperitoneal bleeding | |
|---|---|
| Other names | Retroperitoneal hematoma, retroperitoneal hemorrhage |
 | |
| Transverse section, showing the relations of the capsule of the kidney. (Peritoneum is labeled at center right. Retroperitoneal space is behind peritoneum.) | |
| Specialty | General surgery |
Retroperitoneal bleeding refers to an accumulation of blood found in the retroperitoneal space. It can be traumatic or non-traumatic (spontaneous) with signs and symptoms of flank or abdominal pain, hematuria and shock.[1][2] Most common cases occur in traumas with automobile accidents and falls leading the causes, with less common non traumatic causes including the following:
- anticoagulation[3]
- a ruptured aortic aneurysm
- a ruptured renal aneurysm[4]
- acute pancreatitis
- malignancy[5]
- Iatrogenic (e.g. when cannulating the common femoral artery for cardiac catheterization)
References
- ^ Phillips, Courtney K; Lepor, Herbert (2006). "Spontaneous Retroperitoneal Hemorrhage Caused by Segmental Arterial Mediolysis". Reviews in Urology. 8 (1): 36–40. ISSN 1523-6161. PMC 1471764. PMID 16985559.
- ^ Wang, Fengbiao; Wang, Fang (April 2013). "The diagnosis and treatment of traumatic retroperitoneal hematoma". Pakistan Journal of Medical Sciences. 29 (2): 573–576. doi:10.12669/pjms.292.3168. ISSN 1682-024X. PMC 3809226. PMID 24353579.
- ^ John P. McGahan; Barry B. Goldberg (January 2008). Diagnostic ultrasound. Informa Health Care. pp. 772–. ISBN 978-1-4200-6978-5. Retrieved 20 April 2010.
- ^ Anastasiou, Ioannis; Katafigiotis, Ioannis; Pournaras, Christos; Fragkiadis, Evangelos; Leotsakos, Ioannis; Mitropoulos, Dionysios; Constantinides, Constantinos A. (2013). "A Cough Deteriorating Gross Hematuria: A Clinical Sign of a Forthcoming Life-Threatening Rupture of an Intraparenchymal Aneurysm of Renal Artery (Wunderlich's Syndrome)". Case Reports in Vascular Medicine. 2013: 1–3. doi:10.1155/2013/452317. PMID 23864981.
- ^ Marilyn J. Siegel (1 November 2007). Pediatric Body CT. Lippincott Williams & Wilkins. pp. 353–. ISBN 978-0-7817-7540-3. Retrieved 20 April 2010.
External links
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