What is the treatment for retroperitoneal hematoma?

What is the treatment for retroperitoneal hematoma?

Tolga et al suggest hematoma in the retroperitoneal space can be taken under control to an extent by applying pressure on the bleeding region, while exploratory laparotomy for hematoma may result in uncontrollable bleeding, even death of the patients.

Do you need contrast for retroperitoneal bleed?

Variant 1: Either CT of the abdomen and pelvis with IV contrast, CT of the abdomen and pelvis without and with IV contrast, or CTA of the abdomen and pelvis with IV contrast are usually appropriate for the initial imaging of clinically suspected retroperitoneal bleed in a patient.

Why retroperitoneal hematomas are managed conservatively?

Stable zone II hematomas following blunt trauma are best managed conservatively because exploration entails opening the Gerota fascia, which under these conditions bears a high likelihood of causing further injury to an already damaged kidney.

What is a retroperitoneal hematoma?

Retroperitoneal hematoma is defined as bleeding into the retroperitoneal space. This clinical entity is often occult and under-recognized by clinicians and is a cause of significant morbidity and mortality.

What can cause 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].

Is retroperitoneal hemorrhage fatal?

Retroperitoneal bleeding is relatively rare and a potentially life-threatening condition with significant mortality. Early recognition requires a high index of suspicion.

How serious is pelvic hematoma?

Introduction. Pelvic hematomas can be a serious complication of vaginal delivery. They can be associated with significant morbidity related to blood loss, infection, surgery and blood product transfusion.

What causes retroperitoneal hematoma?

How is a pelvic hematoma treated?

Management of puerperal hematomas is controversial. Conservative management, surgical intervention and selective arterial embolization are the three main methods for managing puerperal hematomas. Conservative management consists of pressure packing, ice packs, analgesia and close surveillance [6].