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retroperitoneal hemorrhage; retroperitoneal hematoma
Etiology:
- anticoagulation
- vascular anomaly
- ruptured aortic aneurysm
- segmental arterial mediolysis
- polyarteritis nodosa
- nephritis
- malignancy
- trauma
Clinical manifestations:
- flank pain
- Grey-Turner sign
Laboratory:
- urinalysis may show hematuria
Special laboratory:
- angiography for suspected vascular anomaly
Radiology:
- computed tomography of abdomen
Management:
- hospitalization in intensive care unit
- clotting factor replacement: fresh frozen plasma
- reverse anticoagulation
- treat specific etiology
- retroperitoneal hematoma my respond to conservative management [3]
Related
retroperitoneum (peri/pararenal fat)
General
internal hemorrhage
References
- Wikipedia: Retroperitoneal hemorrhage
http://en.wikipedia.org/wiki/Retroperitoneal_hemorrhage
- Phillips CK and Lepor H
Spontaneous Retroperitoneal Hemorrhage Caused by Segmental
Arterial Mediolysis
Rev Urol. 2006 Winter; 8(1): 36-40
PMID: 16985559
- Medscape Oncology
Management of Spontaneous and Iatrogenic Retroperitoneal
Haemorrhage: Conservative Management in Retroperitoneal
Haemorrhage
http://www.medscape.com/viewarticle/582645_6