What causes retroperitoneal hematoma?

Retroperitoneal hematomas are the result of blood loss due to the injury of parenchymal tissue or vascular structures within the retroperitoneal cavity. In the setting of traumatic retroperitoneal hematoma, the mechanism of injury can be broken down into blunt or penetrating.

Is a retroperitoneal hematoma serious?

Traumatic retroperitoneal hematoma is a common, life-threatening complication of abdominal or pelvic injuries, early diagnosis and urgent surgical intervention are of utmost importance.

What are the signs and symptoms of a retroperitoneal bleed?

Signs of RP bleeding include new severe back and groin pain, emerging bruising over the abdomen or flank with blood tracking into the inguinal soft tissues, low BP, and increasing heart rate. When these signs are present, a RP bleed is presumed to be the cause.

What are signs and symptoms of a retroperitoneal bleed a possible complication of a cardiac cath )?

In retrospective studies of patients who developed RPH following cardiac catheterization, the most common clinical features were lower abdominal pain and fullness, back or flank pain, diaphoresis [3,6] abdominal tenderness, bradycardia, hypotension and anemia [6].

Which organ is located in the retroperitoneal space?

The retroperitoneal space contains the kidneys, adrenal glands, pancreas, nerve roots, lymph nodes, abdominal aorta, and inferior vena cava.

Can a retroperitoneal mass be benign?

Most retroperitoneal tumors are mesodermal in origin and can arise from any tissue type present in the retroperitoneum. They can be benign or malignant (4).

What is a retroperitoneal mass?

INTRODUCTION. Retroperitoneal masses constitute a heterogeneous group of lesions, originating in the retroperitoneal spaces, that pose a diagnostic challenge for radiologists(1). The majority of cases are malignant tumors, of which approximately 75% are mesenchymal in origin(2-4).

What is spontaneous retroperitoneal hematoma?

Spontaneous retroperitoneal hematoma (SRH) is defined as bleeding into the retroperitoneal space without trauma or iatrogenic manipulation [1]. Rectus sheath hematoma (RSH) results from accumulation of blood within the rectus sheath.

What hematoma means?

(HEE-muh-TOH-muh) A pool of clotted or partially clotted blood in an organ, tissue, or body space, usually caused by a broken blood vessel.

What is hematoma?

A hematoma is a bad bruise. It happens when an injury causes blood to collect and pool under the skin. The pooling blood gives the skin a spongy, rubbery, lumpy feel. A hematoma usually is not a cause for concern.

Can a retroperitoneal hematoma be a result of PCI?

Iatrogenic retroperitoneal hematomas are the result of percutaneous interventions (PCI) or endovascular procedures. While the literature demonstrates that this is a rare complication of such procedures, associated morbidity and mortality are high when it does occur.

Is there a treatment plan for retroperitoneal haematoma?

Abstract Background: Retroperitoneal haematoma is a rare clinical entity with variable aetiology, which is increasing in incidence mainly due to complications related to interventional procedures. There is no general consensus as to the best management plan for patients with retroperitoneal haematoma.

What is the definition of spontaneous retroperitoneal hematoma?

Spontaneous retroperitoneal hematoma (SRH) is defined as bleeding into the retroperitoneal space without trauma or iatrogenic manipulation [ 1 ]. Rectus sheath hematoma (RSH) results from accumulation of blood within the rectus sheath.

Can a CT scan detect a retroperitoneal hematoma?

The mainstay of diagnosis for retroperitoneal hematoma is a contrast-enhanced CT-scan. The hallmark feature of retroperitoneal hematomas, both traumatic and nontraumatic, is their occult nature. The physical examination is commonly nondiagnostic at best, and they are not readily detectable on plain film imaging or ultrasonography.