From Wikipedia, the free encyclopedia
Medical condition
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 is an accumulation of
blood in the
retroperitoneal space . Signs and
symptoms may include abdominal or upper leg
pain ,
hematuria , and
shock . It can be caused by
major trauma or by non-traumatic mechanisms.
Signs and symptoms
Signs and symptoms may include:
Causes
Retroperitoneal bleeds are most often caused by
major trauma , such as from a
traffic collisions or a
fall .
[3] Less common non-traumatic causes including:
Retroperitoneal bleeds may also be
iatrogenic , caused accidentally during medical procedures. Such procedures include cannulating the
femoral artery for
cardiac catheterization or for
interventional radiology ,
[3]
[5] and the administration of a psoas compartment
nerve block .
[5]
Diagnosis
Neurology
As well as initial symptoms, the accumulation of
blood in the
retroperitoneal space also compresses the
femoral nerve . This may lead to
weakness in
extending the
knee (with reduced
patellar reflex ) and weakness in
flexing the
hip .
[8]
Radiology
A
magnetic resonance imaging (MRI) scan may be used to identify the collection of blood, although this is often not performed if bleeding is a
medical emergency .
[3]
Management
The management will depend on the location of the bleeding, the stability of the patient and the cause. Thus, the patient needs to be closely monitored and the etiology investigated. The initial management must include adequate fluid resuscitation. Treatment options for a retroperitoneal bleed may range from angiographic embolization to surgery in severe cases.
[9]
References
^
a
b
c
d 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 .
^
a
b
c
d 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 .
^
a
b
c
d Torigian, Drew A.; Siegelman, Evan S. (2005-01-01), Siegelman, Evan S. (ed.), "Chapter 6 - MRI of the Retroperitoneum and Peritoneum", Body MRI , Philadelphia: W.B. Saunders, pp. 207–268,
doi :
10.1016/b978-0-7216-3740-2.50011-x ,
ISBN
978-0-7216-3740-2
^ 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 .
^
a
b
c
d Weller, Robert S. (2007-01-01), Atlee, John L. (ed.),
"Chapter 64 - Psoas Compartment Block: Potential Complications" , Complications in Anesthesia (Second Edition) , Philadelphia: W.B. Saunders, pp. 257–260,
ISBN
978-1-4160-2215-2 , retrieved 2021-01-05
^ 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 .
PMC
3705747 .
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 .
^ Preston, David C.; Shapiro, Barbara E. (2013-01-01), Preston, David C.; Shapiro, Barbara E. (eds.),
"32 - Lumbosacral Plexopathy" , Electromyography and Neuromuscular Disorders (Third Edition) , London: W.B. Saunders, pp. 501–517,
doi :
10.1016/b978-1-4557-2672-1.00032-5 ,
ISBN
978-1-4557-2672-1 , retrieved 2021-01-05
^ Dorosh, J.; Lin, J. C. (2022).
"Retroperitoneal Bleeding" . StatPearls.
PMID
33085330 .
External links