Management of retroperitoneal trauma

Weil, Peter H.

doi:10.1016/s0011-3840(83)80009-4

Cited by 12 publications

(11 citation statements)

References 240 publications

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“…An ISS of 20 or more points usually means high energy trauma and therefore an increased risk of severe genitourinary injury : in the total group of 653 patients all posterior urethral disruptions, all ruptures of the bladder (except one penetrating injury), all pedicle injuries and all shattered kidneys (except 1 case with a congenital anomaly) occurred in multiple trauma patients. It is generally accepted that no patients die from an isolated urinary tract injury only (Nagel and Leitsenschneider, 1978 ;Well, 1983), but the results in this series of multiple trauma patients indicate that, in cases of severe associated injuries, urological trauma can become life-threatening or cause debilitating complications.…”

Section: Discussionmentioning

confidence: 79%

Urological Trauma and Severe Associated Injuries

Monstrey

Werken

Debruyne

et al. 1987

British Journal of Urology

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Our experience with 212 cases of urinary tract injury in multiple trauma patients treated between 1972 and 1983 has been analysed and compared with data collected from 441 cases of isolated urinary tract injury during the same period. The following points are emphasised: (1) incidence and severity of urological trauma in multiple injured patients; (2) obstacles in diagnosis and the need for immediate radiographic assessment; (3) lower urinary tract injuries and the need for urinary diversion; (4) differences in therapeutic approach to renal injuries in multiple trauma patients. We paid special attention to the indication for surgical exploration in patients with a renal laceration and severe associated injuries.

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Section: Discussionmentioning

confidence: 79%

Urological Trauma and Severe Associated Injuries

Monstrey

Werken

Debruyne

et al. 1987

British Journal of Urology

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“…Approximately 10% of torso trauma involves the genito‐urinary tract 4 . The bladder, because of its position deep within the bony pelvis, is not often injured 1 and major bladder trauma accounts for less than 2% of abdominal injuries requiring surgical exploration 5 .…”

Section: Discussionmentioning

confidence: 99%

Extraperitoneal bladder rupture secondary to rectal impalement

2001

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Impalement injury to both the urinary bladder and the rectum is a rare occurrence. A 45-year-old man was referred to our hospital because he had been stabbed through the internal femoral skin by a steel bar. Retrograde cystography and computed tomography failed to demonstrate bladder rupture. We carried out cystoscopy (CS) because of the existence of gross hematuria and found a penetrating wound in the posterior wall. Colon fiberscopy revealed two wounds in the rectum, one of which communicated with the bladder. A diagnostic laparoscopy revealed no associated injuries in the peritoneal cavity. Vesicorectal injury was diagnosed and treatment included transanal closure of fistulas and indwelling ureteral and urethral catheters. Postoperative CS revealed complete closure of the injury.

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“…The presentation of retroperitoneal hematomas ranges from minimal symptoms to extreme blood loss presenting as hypovolemic shocks. 2,3 The natural history of retroperitoneal hematomas and source of bleeding differ significantly depending on the etiology. For instance, the mortality and morbidity of a gunshot wound to the renovascular structures differ from that injury caused by a blunt trauma to the renovascular structures.…”

Section: Introductionmentioning

confidence: 99%

Extensive retroperitoneal hematoma after laparoscopic appendectomy

et al. 2018

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The retroperitoneum is the abdominal portion located behind the sac of the peritoneal cavity and extending from the diaphragm to the pelvic inlet. A Retroperitoneal hematoma is a rare but a fearsome complication after appendectomy. The management of retroperitoneal hematomas can be difficult as the decision between a surgical intervention, angiographic embolization, and conservative management with fluids can be difficult to make. This case report would be outlining the clinical presentation, radiological findings, and outcome of a 60-year-old male who has been diagnosed with an intra-abdominal, retroperitoneal hematoma and flank ecchymosis with no signs of active bleeding after laparoscopic appendectomy. Retroperitoneal hematomas can be extensive post-laparoscopic abdominal surgeries. A comprehensive physical examination, radiological imaging, and laboratory investigations should be considered to rule out the possibilities of bleeding disorders and/or active bleeding contributing to the development of retroperitoneal hematomas.

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Management of retroperitoneal trauma

Cited by 12 publications

References 240 publications

Urological Trauma and Severe Associated Injuries

Urological Trauma and Severe Associated Injuries

Extraperitoneal bladder rupture secondary to rectal impalement

Extensive retroperitoneal hematoma after laparoscopic appendectomy

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