Detecting spontaneous retroperitoneal hemorrhage using a modified RUSH protocol: a case report

Bitar, Zouheir; Elshabasy, Ragab Desouky; Mohsen, Mohammad; Maadarani, Ossama; Elzoueiry, Mahmoud Mostafa; Gohar, Mohamed Refaat

doi:10.1016/j.ijscr.2022.106830

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…The differential diagnosis of non-traumatic abdominal pain in men includes a variety of pathologies involving the gastrointestinal system, urinary tract, large vessels, and musculoskeletal system [8]. Nevertheless, in cases with coexisting signs of hypovolemic shock, SRHH should be considered [9]. Ultrasonography is valuable in investigating abdominal pain, especially in examining the retroperitoneal space [9].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, in cases with coexisting signs of hypovolemic shock, SRHH should be considered [9]. Ultrasonography is valuable in investigating abdominal pain, especially in examining the retroperitoneal space [9]. Ultrasound provides immediate information that helps physicians establish an accurate diagnosis and manage patients more accurately.…”

Section: Discussionmentioning

confidence: 99%

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Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Mavridis¹,

Lagoudaki²,

Georgiadis³

et al. 2023

Cureus

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Spontaneous renal rupture (SRR) with retroperitoneal hemorrhage is an extremely rare medical emergency and is rather challenging for the surgical team. Management of SRR often requires surgical intervention and nephrectomy as it is life-threatening. Antiphospholipid syndrome (APLS) is an autoimmune disease that affects several organs, including kidneys, causing significant abnormalities. Current data suggest that APLS can result in renal artery stenosis, renal vein thrombosis, arterial hypertension, thrombotic microangiopathy, and antiphospholipid syndrome nephropathy where there is renal involvement. Here, we report the case of a 49-year-old man who presented to the Emergency Department with sudden-onset abdominal pain in the context of retroperitoneal bleeding due to SRR. The patient developed hemodynamic instability and underwent a total nephrectomy. The surgical specimen revealed APLS-related lesions. Serological tests confirmed the diagnosis of APLS, which was managed with acenocoumarol and hydroxychloroquine. Since then, he has not experienced any thromboembolic or hemorrhagic episodes. This article aims to present for the first time a case of SRR as the first presentation of APLS as well as to analyze the possible associated mechanisms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Mavridis¹,

Lagoudaki²,

Georgiadis³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…It would be ideal if ultrasound could help here, as a quick and easy test, but unfortunately, it cannot. While case reports have described the technique, 25 the performance characteristics are unknown but likely poor due to a combination of patient factors and a lack of easy ultrasound landmarks. CT remains the gold standard if the diagnosis is suspected.…”

Section: Pocus To Identify the Source Of Bleedingmentioning

confidence: 99%

Multiorgan Point-of-Care Ultrasound Assessment in Critically Ill Adults

Hobbs

Millington

Wiskar

2023

J Intensive Care Med

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Traditional point-of-care ultrasound (POCUS) training highlights discrete techniques, single-organ assessment, and focused protocols. More recent developments argue for a whole-body approach, where the experienced clinician-ultrasonographer crafts a personalized POCUS protocol depending on specific clinical circumstances. This article describes this problem-based approach, focusing on common acute care scenarios while highlighting practical considerations and performance characteristics.

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Antiplatelets/enoxaparin-sodium/ticagrelor

2022

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Detecting spontaneous retroperitoneal hemorrhage using a modified RUSH protocol: a case report

Cited by 4 publications

References 13 publications

Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Multiorgan Point-of-Care Ultrasound Assessment in Critically Ill Adults

Antiplatelets/enoxaparin-sodium/ticagrelor

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