Hemorragia retroperitoneal espontánea: nuestra experiencia en los últimos 10 años
| Autor: | J.F. Jiménez Cruz, S. Arlandis Guzmán, M. Ramírez Backhaus, V. Gimeno Argente, M. Trassierra Villa, M. Bosquet Sanz |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Abdominal pain medicine.diagnostic_test business.industry Urology medicine.disease Síndrome de Wünderlich Surgery Conservative treatment Tratamiento conservador Hematoma Wunderlich syndrome Abdominal ultrasonography medicine Etiology Hemorragia retroperitoneal espontánea Radiology Retroperitoneal hemorrhage medicine.symptom business Renal angiomyolipoma |
| Zdroj: | Actas Urológicas Españolas v.31 n.5 2007 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| Popis: | SPONTANEOUS RETROPERITONEAL HEMORRHAGE: OUR EXPERIENCE AT LAST 10 YEARS Introduction and Objectives: Etiology, clinical features, diagnostic methods and treatment of spontane- ous retroperitoneal hemorrhage were analyzed. Methods: We report 27 cases with diagnosis of spontaneous retroperitoneal hemorrhage treated in our hospital between January 1996 and December 2005. The imaging techniques were abdominal ultrasono- graphy, abdominal CT scan and MRI. Results: The most common cause of retroperitoneal hemorrhage was renal angiomyolipoma rupture in 7 patients. Continuous flank or abdominal pain were the primary symptoms. Abdominal ultrasonography showed hematoma in 81.8% patients, but the actual etiologic diagnosis was ascertained in only 40.9% of them. Retroperitoneal hemorrhage was demonstrated by means of abdominal CT scan in all cases and ble- eding origin was established in 92.6% of cases. Ten patients underwent urgent surgery while conservative treatment was attempted in the remaining 17. Conclusions: In our experience, in cases of spontaneous retroperitoneal hemorrhage, CT scan is the best imaging method to establish the diagnosis and the management of such entity although it will need to be individualized for every case because it depends on the hemodinamic situation and etiologic diagnosis. |
| Databáze: | OpenAIRE |
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