114 results on '"retroperitoneal haemorrhage"'
Search Results
2. Angiomyolipoma during pregnancy: A forgotten risk factor for rupture and massive haemorrhage– A case report
- Author
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Khairil Amir Sayuti, Saiful Amri Mat Rasid, Mohd Shafie Abdullah, and Siti Jusna Muhammad
- Subjects
angiomyolipoma ,pregnancy ,rupture ,retroperitoneal haemorrhage ,Medicine - Abstract
Benign renal lesions are relatively rare. Angiomyolipoma (AML) is the most commonly encountered benign renal lesion. One of the complications of AML is rupture, which results in retroperitoneal haemorrhage with a mortality rate of up to 20%. Pregnancy poses a major risk for the rupture of AML. This is attributed to its hormonal effect, which causes the tumour to grow rapidly during pregnancy. The possibility of AML rupture should be considered when encountering pregnant patients with hypovolemic shock but with normal initial obstetric ultrasound findings. We present a case of a pregnant patient who was admitted with hypovolemic shock and CT scan confirmed rupture of AML.
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- 2024
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3. Spontaneous Retroperitoneal Haemorrhage: Efficacy of Conservative Management and Embolisation.
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Lukies, Matthew, Gipson, Jacob, Tan, Sia Yang, and Clements, Warren
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HEMORRHAGE ,PROPENSITY score matching ,COMPUTED tomography ,BLOOD transfusion reaction ,BLOOD volume ,OLDER people - Abstract
Purpose: To assess the efficacy of conservative management and embolisation in patients with spontaneous retroperitoneal haemorrhage. Methods: Single-centre retrospective case–control study of patients with spontaneous retroperitoneal haemorrhage treated conservatively or with embolisation. Patients aged ≥ 18 years were identified from CT imaging reports stating a diagnosis of retroperitoneal haemorrhage or similar and images reviewed for confirmation. Exclusion criteria included recent trauma, surgery, retroperitoneal vascular line insertion, or other non-spontaneous aetiology. Datapoints analysed included treatment approach (conservative or embolisation), technical success, clinical success, and mortality outcome. Results: A total of 54 patients met inclusion criteria, who were predominantly anticoagulated (74%), male (72%), older adults (mean age 69 years), with active haemorrhage on CT (52%). Overall mortality was 15%. Clinical success was more likely with conservative management (36/38) than embolisation (9/16; p < 0.01), and all-cause (1/38 vs 7/16; p < 0.01) and uncontrolled primary bleeding (1/38 vs 5/16; p < 0.01) mortality were higher with embolisation. However, embolised patients more commonly had active bleeding on CT (15/38 vs 13/16; p < 0.01), shock (5/38 vs 6/16; p < 0.04), and higher blood transfusion volumes (mean 2.2 vs 5.9 units; p < 0.01). After one-to-one propensity score matching, differences in clinical success (p = 0.04) and all-cause mortality (p = 0.01) remained; however, difference in uncontrolled primary bleeding mortality did not (p = 0.07). Conclusion: Conservative management of SRH is likely to be effective in most patients, even in those who are anticoagulated and haemodynamically unstable, with variable success seen after embolisation in a more unstable patient group, supporting the notion that resuscitation and optimisation of coagulation are the most vital components of treatment. [ABSTRACT FROM AUTHOR]
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- 2023
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4. The injury patterns, management and outcomes of retroperitoneal haemorrhage caused by lumbar arterial bleeding at a Level-1 Trauma Centre: A 10-year retrospective review.
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Schlegel, R.N., Fitzgerald, M., O'Reilly, G., Clements, W., Goh, G.S., Groombridge, C., Johnny, C., Noonan, M., Ban, J., and Mathew, J.
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HEMORRHAGE , *SYSTOLIC blood pressure , *RETROPERITONEUM , *HEMORRHAGIC shock , *RETROSPECTIVE studies - Abstract
• Patients with haemorrhage due to bleeding of the lumbar arteries have a higher rate of lumbar transverse process fractures. • Patients with lumbar artery bleeding also have a greater number of massive transfusions, higher injury severity score and shock index. • Lumbar transverse process fractures in a shocked patient may predict haemorrhage requiring early, aggressive intervention. • Lumbar artery bleeds are best managed in Level-1 or Level-2 trauma facilities equipped with angioembolisation facilities or hybrid theatres. Haemorrhagic shock remains a leading preventable cause of death amongst trauma patients. Failure to identify retroperitoneal haemorrhage (RPH) can lead to irreversible haemorrhagic shock. The arteries of the middle retroperitoneal region (i.e., the 1st to 4th lumbar arteries) are complicit in haemorrhage into the retroperitoneal space. However, predictive injury patterns and subsequent management implications of haemorrhage secondary to bleeding of these arteries is lacking. We performed a retrospective cohort study of patients diagnosed with retroperitoneal haemorrhage who presented to our Level-1 Trauma Centre (2009–2019). We described the associated injuries, management and outcomes relating to haemorrhage of lumbar arteries (L1–4) from this cohort to assess risk and management priorities in non-cavitary haemorrhage compared to RPH due to other causes. Haemorrhage of the lumbar arteries (LA) is associated with a higher proportion of lumbar transverse process (TP) fractures. Bleeding from branches of these vessels is associated with lower systolic blood pressure, increased incidence of massive transfusion, higher shock index, and a higher Injury Severity Score (ISS). A higher proportion of patients in the LA group underwent angioembolisation when compared to other causes of RPH. This study highlights the injury patterns, particularly TP fractures, in the prediction, early detection and management of haemorrhage from the lumbar arteries (L1–4). Compared to other causes of RPH, bleeding of the LA responds to early, aggressive haemorrhage control through angioembolisation. These injuries are likely best treated in Level-1 or Level-2 trauma facilities that are equipped with angioembolisation facilities or hybrid theatres to facilitate early identification and management of thoracolumbar bleeds. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Ruptured Renal Angiomyolipoma
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Sébastien Azzi, Patrice Jissendi, and Fadi Tannouri
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angiomyolipoma ,retroperitoneal haemorrhage ,acute abdomen ,renal tumour ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Teaching Point: This case highlights the importance of extending the medical analysis to other areas with lumbar computed tomography, especially to the kidneys and the retroperitoneum.
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- 2022
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6. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome
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Younes El Hassani, Meriem Haloua, Badreeddine Alami, Meryem Boubbou, Mustapha Maaroufi, and Moulay Youssef Alaoui Lamrani
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median arcuate ligament syndrome ,haematoma ,pancreaticoduodenal aneurysm ,retroperitoneal haemorrhage ,epigastric pain. ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.
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- 2021
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7. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome.
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El Hassani, Younes, Haloua, Meriem, Alami, Badreeddine, Boubbou, Meryem, Maaroufi, Mustapha, Youssef, Moulay, and Lamran, Alaoui
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ULTRASONIC imaging of the abdomen ,RETROPERITONEUM ,HEMATOMA ,GASTROINTESTINAL hemorrhage ,RECTUM ,HEMATEMESIS ,ABDOMINAL pain ,ENDOSCOPIC gastrointestinal surgery ,COMPUTED tomography ,HEMORRHAGE ,DIGITAL rectal examination - Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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8. Spontaneous retroperitoneal haemorrhage secondary to anticoagulation polypharmacy
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Tanveer Mir, Zeenat Bhat, Anita Maria Noronha, Amir Khalil, and Mohammed Uddin
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Polypharmacy ,medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,Anticoagulants ,Hemorrhage ,General Medicine ,Recurrent deep vein thrombosis ,Medication Reconciliation ,medicine ,Anticoagulation Agents ,Humans ,In patient ,Retroperitoneal Cavity ,Retroperitoneal Space ,Intensive care medicine ,Complication ,business ,Blood Coagulation ,Aged - Abstract
Retroperitoneal haemorrhage (RH) is not uncommon in patients with provoking events like trauma. However, spontaneous RH (SRH) is a rare and life-threatening complication described as the development of bleeding into the retroperitoneal cavity, appearing spontaneously and without a preceding history of trauma or other predisposing illness. We are reporting a case of an elderly patient with recurrent deep vein thrombosis who had developed SRH secondary to concurrent use of multiple anticoagulation agents, resulting from poor healthcare follow-up and lack of sufficient medication reconciliation. This article highlights the significance of recognising risk factors for SRH, as well as management strategies through literature review.
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- 2023
9. Ruptured Renal Angiomyolipoma.
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AZZI, SÉBASTIEN, JISSENDI, PATRICE, and TANNOURI, FADI
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ANGIOMYOLIPOMA ,KIDNEY tumors ,COMPUTED tomography ,RETROPERITONEUM diseases ,HEMORRHAGE - Abstract
Teaching Point: This case highlights the importance of extending the medical analysis to other areas with lumbar computed tomography, especially to the kidneys and the retroperitoneum. [ABSTRACT FROM AUTHOR]
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- 2022
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10. Retroperitoneal Haemorrhage from Femoral Access
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Spiliopoulos, Stavros, Katsanos, Konstantinos, Karnabatidis, Dimitris, Tsetis, Dimitrios, Siablis, Dimitris, Dieter, Robert S., editor, Dieter, Jr., Raymond A., editor, and Dieter, III, Raymond A., editor
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- 2014
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11. Endovascular treatment of ruptured pancreaticoduodenal artery aneurysm: The importance of collateral vessels. A case report.
- Author
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Ricci, Gabriele, Riu, Pascale, Attinà, Grazia Maria, Trombetta, Silvia, Ialongo, Pasquale, Di Cosimo, Carla, Mancuso, Rosaria, and Marini, Pierluigi
- Abstract
Introduction True pancreaticoduodenal artery aneurysm occurrence is infrequent, but it is a fatal disease and accounts for accounts for <2% of all visceral aneurysms. Presentation of case A 62-year-old man with a two-day history of epigastric pain was admitted at emergency department. CT showed a retroperitoneal haematoma due to a 1.5 cm posterior inferior PDA ruptured aneurysm. Angiography had been conducted immediately: both inflow and outflow of the aneurysm were embolized. Another CT scan had been conducted, which revealed residual flow inside the aneurysm sac fed by small collateral vessels. Sub-selective catheterization was repeated and definitive haemostasis was obtained by embolizing the collateral vessels. Postoperative course was uneventful. CT scan follow-up at 36 months showed no abnormalities. Discussion The incidence rate of pancreaticoduodenal artery aneurysm rupture has been estimated to be less than or equal to 65%. In the case of rupture the treatment is challenging and mortality had been reported up to 50%. Endovascular treatment showed superior results as compared to surgical treatment of aneurysms, especially in emergency settings. Conclusion The authors elucidate the importance of occlusion of inflow and outflow of the aneurysm in conjunction with the occlusion of collateral vessels to avert reperfusion of the sac. Simultaneous handling of celiac axis stenosis is still prone to controversy: no relapse of aneurysm have been reported in patients with celiac axis stenosis at long-term follow-up, simultaneous treatment should be reserved when angiography is alarming for likely hepatic or duodenal ischemia. [ABSTRACT FROM AUTHOR]
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- 2017
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12. Clinics in diagnostic imaging (178). Wünderlich syndrome and pseudoaneurysm.
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Raymond Chung, Chawla, Ashish, Peh, Wilfred C. G., Chung, Raymond, and Peh, Wilfred Cg
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DIAGNOSTIC imaging ,ELASTOGRAPHY ,HEALTH facilities ,GROUP medical practice ,OUTPATIENT medical care - Abstract
Wünderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wünderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wünderlich haemorrhagic event with metachronous pseudoaneurysm formation, which was likely secondary to the large subcapsular haematoma stripping the renal capsule and tearing the cortical arteries. Selective pseudoaneurysm embolisations were successfully performed on both occasions. This clinical entity, its imaging differential diagnoses and management are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
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13. Renal pelvic rupture, intrapelvic haematoma and retroperitoneal haemorrhage associated with obstructive ureterolithiasis in a cat
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Ian Battersby, E. Cockburn, and R. S. Doyle
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medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,Echogenicity ,Distension ,urologic and male genital diseases ,Renal pelvic ,medicine.anatomical_structure ,Medicine ,Histopathology ,Neutered female ,Radiology ,Ureterolithiasis ,Small Animals ,business ,Renal pelvis - Abstract
A neutered female cat presented with a 9-day history of hyporexia and depression. The referring veterinarian had identified moderate non-regenerative anaemia, haematuria and suspected unilateral obstructive ureterolithiasis. Subsequent ultrasonography revealed moderate distension of the left renal pelvis with echogenic material, ureteral distension and ureterolithiasis. A partial ureteral obstruction was suspected. After 4 days of medical management, there was further distension of the renal pelvis with well-delineated echogenic material and an accumulation of perinephric fluid. A left nephroureterectomy was performed. Renal pelvic rupture with intrapelvic haematoma and retroperitoneal haemorrhage was confirmed by histopathology. Eighteen months following surgery, the cat remained clinically well with normal renal values.
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- 2020
14. 284 Wunderlich Syndrome - Case Report of a Surgical Emergency Due to Spontaneous Non-Traumatic Retroperitoneal Haemorrhage
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J Henderson, P Prakash Narayan, and S Patil
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medicine.medical_specialty ,Wunderlich syndrome ,business.industry ,General surgery ,Non traumatic ,Retroperitoneal haemorrhage ,medicine ,Surgery ,Surgical emergency ,medicine.disease ,business - Abstract
A 42-year-old female with no other significant co-morbidities presented with complaints of sudden onset abdominal pain, she was in state of shock- her haemoglobin dropped drastically to 6.8g/dl from 11.8g/dl. She was resuscitated and was given blood transfusion. CT Scan was suggestive of retroperitoneal haemorrhage due to rupture of Renal angiomyolipoma (RAML). Patient underwent selective embolization of renal artery the next day and was discharged after 3 days of post-operative stay. Wunderlich Syndrome-is a rare condition in which spontaneous nontraumatic renal haemorrhage occurs into the subcapsular and perirenal spaces is most commonly caused due to spontaneous rupture of RAML.It is characterized by Lenk’s triad – Acute flank pain, flank mass, hypovolemic shock. Size of AML (>4 cm), prothrombotic states such as pregnancy are main causes of AML rupture. Patients are managed conservatively or with help of selective arterial embolization. Nephrectomy is last resort in a hemodynamically unstable patient or in cases of embolization failure. When dealing with acute abdomen with haemodynamic instability in non-traumatic cases it is essential to consider possibility of Wunderlich Syndrome. Early diagnosis, availability of Interventional radiology is key to successful management and potentially avoiding a Nephrectomy.
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- 2021
15. A Massive Spontaneous Retroperitoneal Hemorrhage Caused by A Ruptured Right Ovarian Vessel: Case Report of A Rare Postpartum Complication.
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Zulkifli, Firdaus, Malapan, Kirubakaran, Shah, Mohd Shahrulsalam Mohd, Zakaria, Zaidi, Kai, Michael Wong-Pak, Zakaria, Andee Dzulkarnaen, and Abd Aziz, Syed Hassan Syed
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PUERPERAL disorders ,RETROPERITONEUM diseases ,ABDOMINAL pain ,UTERINE hemorrhage ,HYPOVOLEMIC anemia - Abstract
Spontaneous rupture of an ovarian artery following vaginal delivery is extremely rare cause of postpartum haemorrhage but usually life-threatening event. The classical presentation including sudden onset of abdominal pain and hypovolaemic shock with no evidence of vaginal bleeding. Early recognition with prompt surgical interventions is mandatory to achieve a favourable outcome for patient because of its association with high maternal and fetal mortality. We report a case of spontaneous retroperitoneal haemorrhage caused by rupture of a right ovarian artery in a post vaginal delivery patient. [ABSTRACT FROM AUTHOR]
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- 2022
16. Non-Functioning Adrenocortical Carcinoma Presenting as Retroperitoneal Hemorrhage With Early Metastasis.
- Author
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Khan ZU, Alsisi GG, Aldouri AQ, Ahmed FW, Mohiuddin MK, and Alsisi GG
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Adrenocortical cancer is a rare neoplasm with varied clinical presentation and overall poor outcome. This should be managed with timely intervention at highly specialized centers. Our aim is to report this rare case presentation of large non-functional adrenocortical cancer, complicated by spontaneous rupture while awaiting workup leading to life-threatening hemorrhage. Despite successful emergency radical surgical management and achieving negative margins, the patient developed early recurrence as intra-abdominal metastasis within two months. This can likely be attributed to the aggressive nature of the tumor as indicated by the high Ki-67 index or spillage of the tumor cells following spontaneous rupture. We recommend managing these non-functioning adrenocortical cancers as early as possible at highly specialized centers with reference to published standard guidelines., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Khan et al.)
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- 2022
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17. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome
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Moulay Youssef Alaoui Lamrani, Younes El Hassani, Mustapha Maaroufi, B. Alami, Meriem Haloua, and Meryem Boubbou
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Spontaneous rupture ,lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,lcsh:R895-920 ,Epigastric pain ,030218 nuclear medicine & medical imaging ,Coeliac artery ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Radiology, Nuclear Medicine and imaging ,Case Series ,epigastric pain ,Aneurysm formation ,median arcuate ligament syndrome ,Radiological and Ultrasound Technology ,business.industry ,Median arcuate ligament ,Retroperitoneal haemorrhage ,food and beverages ,pancreaticoduodenal aneurysm ,haematoma ,retroperitoneal haemorrhage ,medicine.disease ,Surgery ,Stenosis ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,business ,Median arcuate ligament syndrome - Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.
- Published
- 2021
18. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome
- Author
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Hassani, Younes El, Haloua, Meriem, Alami, Badreeddine, Boubbou, Meryem, Maaroufi, Mustapha, Youssef, Moulay, and Lamrani, Alaoui
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haematoma ,retroperitoneal haemorrhage ,food and beverages ,epigastric pain ,pancreaticoduodenal aneurysm ,median arcuate ligament syndrome - Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.
- Published
- 2021
19. Massive retroperitoneal haemorrhage after retrograde pyelogram in end-stage kidneys: A case report
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Lay Guat Ng, Edwin Jonathan Aslim, XinYan Yang, Henry Sun Sien Ho, and Valerie Huei Li Gan
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medicine.medical_specialty ,business.industry ,Retroperitoneal haematoma ,Retroperitoneal haemorrhage ,lcsh:R ,030232 urology & nephrology ,lcsh:Medicine ,General Medicine ,Retrograde pyelography ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Medicine ,Radiology ,Stage (cooking) ,business ,End-stage kidney disease ,Pyelogram - Abstract
Severe retroperitoneal haemorrhage after retrograde pyelogram (RPG) is rare and has not been reported in the literature. One of the few indications for performing RPG in end-stage kidneys is evaluation of the upper urinary tract for malignancy. We present a rare case of massive retroperitoneal haemorrhage in a 58-year-old man, with a history of deceased donor kidney transplantation for end-stage kidney disease (ESKD), following bilateral RPG for the evaluation of urothelial cancer. The bleeding was successfully stopped with renal artery angioembolisation. This case demonstrates the importance of exercising extra caution when performing endoscopic procedures in patients with ESKD and keeping the intrarenal pressure as low as possible.
- Published
- 2020
20. Late Rupture of Lumbar Artery as an Unusual Complication after Renal Biopsy - Case Report.
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Krejčí, Karel, Černá, Marie, Žamboch, Kamil, Orság, Jiří, Klíčová, anna, and Zadražil, Josef
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RENAL biopsy , *RETROPERITONEUM , *ANTICOAGULANTS , *WOMEN patients , *OLDER patients , *COMPUTED tomography , *WOUNDS & injuries - Abstract
The most serious complication of renal biopsy is vascular damage with subsequent haemorrhage. To our knowledge, we present a first ever case of lumbar artery (LA) rupture accompanied by massive retroperitoneal bleeding, which developed after a significant amount of time following the biopsy itself. In a 63-year-old Caucasian female patient, a percutaneous left kidney biopsy was performed under continuous ultrasound guidance. On the fourteenth day after the procedure, she was examined for a sudden onset of left lumbar region pain. Computed tomography angiography showed a large retroperitoneal hematoma with active bleeding from the fourth left LA. Successful endovascular superselective embolization was performed immediately. The predisposing factor for the late haemorrhage could have been anticoagulation therapy, renal insufficiency and older age. Our case report highlights the need for caution, especially when performing kidney biopsy in a group of high-risk patients, particularly if they are indicated for subsequent anticoagulant therapy. [ABSTRACT FROM AUTHOR]
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- 2017
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21. When DVT turns into surgical catastrophe: undiagnosed case of May-Thurner syndrome leading to retroperitoneal haematoma and fatal bleeding
- Author
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Joshua Agilinko, Najam Husain, Pradeep Kumar, Syed Soulat Raza, and Daniele Fanelli
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Spontaneous rupture ,medicine.medical_specialty ,urogenital system ,Retroperitoneal haematoma ,business.industry ,Retroperitoneal haemorrhage ,Mohr–Tranebjærg syndrome ,Case Report ,macromolecular substances ,medicine.disease ,May–Thurner syndrome ,May-Thurner syndrome ,Abdominal mass ,Surgery ,Venous thrombosis ,left iliac vein ,medicine ,medicine.symptom ,business ,DVT ,Common iliac vein - Abstract
May-Thurner syndrome (MTS) is an unusual cause of deep venous thrombosis; even rarer is the spontaneous rupture of collaterals around the thrombosed common iliac vein due to MTS. We present a case of MTS which presented with left leg swelling and abdominal mass due to retroperitoneal haemorrhage.
- Published
- 2020
22. Endovascular management of a large retroperitoneal haemorrhage resulting from dual testicular and intra-renal arterial injury after renal biopsy
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Vinu Moses, Shyamkumar N. Keshava, Anna T Valson, and Munawwar Ahmed
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medicine.medical_specialty ,030232 urology & nephrology ,R895-920 ,urologic and male genital diseases ,03 medical and health sciences ,Medical physics. Medical radiology. Nuclear medicine ,0302 clinical medicine ,embolisation ,Medicine ,Radiology, Nuclear Medicine and imaging ,Arterial injury ,Computed tomography angiography ,medicine.diagnostic_test ,business.industry ,Retroperitoneal haemorrhage ,medicine.disease ,Work-up ,Surgery ,hematuria ,medicine.anatomical_structure ,Artery injury ,Genitourinary Imaging ,030220 oncology & carcinogenesis ,Renal biopsy ,business ,computed tomography angiography ,Kidney disease ,Artery - Abstract
Percutaneous renal biopsy is a minimally invasive procedure in the work up of a chronic kidney disease patient. However, it is not free from the complications. Hematuria and abdominal haemorrhage due to intra-renal artery injury are the common complications. We report and discuss the management of a rare case of retroperitoneal haemorrhage resulting from dual arterial injury involving left testicular artery and intra-renal artery.
- Published
- 2018
23. Wunderlich syndrome; Spontaneous Atraumatic Rupture of the kidney: A case report
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Dilushi Wijayaratne, Nalaka Gunawansa, Dinesha Himali Sudusinghe, and Chathurika Beligaswatta
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Kidney ,medicine.medical_specialty ,medicine.anatomical_structure ,Polymers and Plastics ,business.industry ,Wunderlich syndrome ,Retroperitoneal haemorrhage ,medicine ,Business and International Management ,business ,medicine.disease ,Industrial and Manufacturing Engineering ,Surgery - Abstract
Atraumatic spontaneous retroperitoneal haemorrhage is a distinct clinical entity with potentially life-threatening complications.
- Published
- 2018
24. Median arcuate ligament syndrome with retroperitoneal haemorrhage: A case report.
- Author
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Lu XC, Pei JG, Xie GH, Li YY, and Han HM
- Abstract
Background: Median arcuate ligament syndrome (MALS) is relatively rare and is due to extraluminal compression of the coeliac artery by the median arcuate ligament of the diaphragm. Here, we report a case of MALS found in a patient with abdominal pain and retroperitoneal haemorrhage for education and dissemination., Case Summary: This article describes a 46-year-old female patient who was admitted to our hospital with abdominal pain as her chief complaint. She had experienced no obvious symptoms but had retroperitoneal bleeding during the course of the disease. Contrast-enhanced computed tomography (CT) and noninvasive CT angiography (CTA) led to an initial misdiagnosis of pancreaticoduodenal artery aneurysm (PDAA) causing retroperitoneal hemorrhage. After intraoperative exploration and detailed analysis of enhanced CT and CTA images, a final diagnosis of MALS was made. The cause of the haemorrhage was bleeding from a branch of the gastroduodenal artery, not rupture of a PDAA. The prognosis of MALS combined with PDAA treated by laparoscopy and interventional therapy is still acceptable. The patient was temporarily treated by gastroduodenal suture haemostasis and was referred for further treatment., Conclusion: MALS is very rare and usually has postprandial abdominal pain, upper abdominal murmur, and weight loss. It is diagnosed by imaging or due to complications. When a patient has abdominal bleeding or PDAA, we should consider whether the patient has celiac trunk stenosis (MALS or other etiology). When abdominal bleeding is combined with an aneurysm, we generally think of aneurysm rupture and hemorrhage first, but it may also be collateral artery rupture and hemorrhage., Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose., (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
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- 2022
- Full Text
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25. Endovascular Therapy for Patients with Renal Angiomyolipoma Presenting with Retroperitoneal Haemorrhage.
- Author
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Incedayi, M., Turba, U.C., Arslan, B., Sabri, S.S., Saad, W.E.A., Matsumoto, A.H., and Angle, J.F.
- Subjects
RENAL cancer treatment ,HEMORRHAGE ,DIFFERENTIAL diagnosis ,TOMOGRAPHY ,THERAPEUTIC embolization ,FOLLOW-up studies (Medicine) - Abstract
Abstract: We report our experience treating four patients with acutely bleeding angiomyolipoma (AML) of sizes between 4 and 12 cm who were managed with endovascular embolisation with a mean follow-up of 10 months. In our case series, we demonstrate that endovascular embolisation in the acute setting for bleeding AMLs is a viable treatment option. AML should be in the differential diagnosis of acutely bleeding renal masses, even when there is no fat assessed by computed tomography (CT) imaging in the renal mass. [Copyright &y& Elsevier]
- Published
- 2010
- Full Text
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26. Clinics in diagnostic imaging (178)
- Author
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Wilfred C. G. Peh, Ashish Chawla, and Raymond T. Chung
- Subjects
medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,Wunderlich ,Rare entity ,General Medicine ,030230 surgery ,medicine.disease ,Dyscrasia ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Pseudoaneurysm ,0302 clinical medicine ,medicine.anatomical_structure ,Renal capsule ,Wunderlich syndrome ,medicine ,Medical imaging ,cardiovascular diseases ,Radiology ,business - Abstract
Wunderlich syndrome is a rare entity characterised by spontaneous retroperitoneal haemorrhage with renal origin. We present a case of Wunderlich syndrome secondary to clotting dyscrasia in a 64-year-old woman. The patient experienced a second Wunderlich haemorrhagic event with metachronous pseudoaneurysm formation, which was likely secondary to the large subcapsular haematoma stripping the renal capsule and tearing the cortical arteries. Selective pseudoaneurysm embolisations were successfully performed on both occasions. This clinical entity, its imaging differential diagnoses and management are discussed.
- Published
- 2017
27. Endovascular treatment of ruptured pancreaticoduodenal artery aneurysm: The importance of collateral vessels. A case report
- Author
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Silvia Trombetta, Pierluigi Marini, Pascale Riu, Grazia Maria Attinà, Ricci G, Pasquale Ialongo, Rosaria Mancuso, and Carla Di Cosimo
- Subjects
medicine.medical_specialty ,Pancreaticoduodenal artery ,Ischemia ,030204 cardiovascular system & hematology ,Epigastric pain ,Article ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,Occlusion ,medicine ,Celiac axis stenosis ,cardiovascular diseases ,medicine.diagnostic_test ,PDA, pancreaticoduodenal artery ,business.industry ,TAE, transcatheter arterial embolization ,Emergency department ,medicine.disease ,Retroperitoneal haemorrhage ,CT, computed tomography ,Surgery ,Transcatheter arterial embolization ,Stenosis ,Angiography ,cardiovascular system ,Radiology ,Presentation (obstetrics) ,business ,ERCP, endoscopic retrograde cholangiopancreatography - Abstract
Highlights • Ruptured pancreaticoduodenal artery aneursym is a very rare but potentially catastrophic occurence in an emergency department and its treatment is challenging. • Very few cases of emergency endovascular treatment of ruptured visceral aneursyms are reported in the literature. • This case report has the intention to elucidate in pancreaticodudoenal artery aneursym the importance of collateral vessels that could feed the aneurysm sac even after embolization of the inflow and outflow of the aneurysm., Introduction True pancreaticoduodenal artery aneurysm occurrence is infrequent, but it is a fatal disease and accounts for accounts for
- Published
- 2017
28. Rehabilitation training following retroperitoneal haemorrhage: A case report and review of the literature
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Xinlong Ma, Ding Xiang, Liancheng Wang, and Junqing Zhong
- Subjects
medicine.medical_specialty ,CASE REPORT and LITERATURE REVIEW ,Rehabilitation ,business.industry ,medicine.medical_treatment ,General surgery ,Retroperitoneal haemorrhage ,medicine.disease ,rehabilitation ,Clinical Practice ,retroperitoneal haemorrhage ,Rehabilitation training ,Etiology ,Pelvic fracture ,medicine ,pelvic surgery ,In patient ,business ,Pelvic surgery - Abstract
We report a case of a Chinese man who developed retroperitoneal haemorrhage almost 1 year after surgery for pelvic fracture (1). To the best of our knowledge, this type of delayed haemorrhaging is rarely observed in clinical practice. We also review the literature to identify the common causes of retroperitoneal haemorrhage in patients undergoing surgery for pelvic fracture and to examine the aetiology of this case.
- Published
- 2020
29. Retroperitoneal haemorrhage from the superior glutaeal artery: A late complication of total hip arthroplasty.
- Author
-
Bakker, K. and Gast, L.
- Abstract
A patient with rheumatoid arthritis was admitted with a sudden onset of abdominal pain owing to a retroperitoneal haemorrhage from a false aneurysm of the superior gluteal artery. This aneurysm probably developed as a result of a migrating total hip prosthesis [ABSTRACT FROM AUTHOR]
- Published
- 1990
- Full Text
- View/download PDF
30. Emergency management of retroperitoneal haemorrhage using covered stents
- Author
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Mohammed Omer Anwar, Adam Timmis, and Neil Bodagh
- Subjects
medicine.medical_specialty ,Emergency management ,business.industry ,General surgery ,Retroperitoneal haemorrhage ,Hemorrhage ,General Medicine ,030204 cardiovascular system & hematology ,medicine.disease ,Coronary Angiography ,Femoral Artery ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Humans ,Female ,Stents ,030212 general & internal medicine ,Medical emergency ,Retroperitoneal Space ,Emergencies ,business ,Covered stent ,Aged - Published
- 2017
31. Life-threatening Spontaneous Retroperitoneal Haemorrhage: Role of Multidetector CT-angiography for the Emergency Management
- Author
-
Jie Pan, Zhengyu Jin, Xiao-guang Li, Huadan Xue, Zhiwei Wang, and Xiao-bo Zhang
- Subjects
Adult ,Male ,medicine.medical_specialty ,Hemorrhage ,030204 cardiovascular system & hematology ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Aortic aneurysm ,0302 clinical medicine ,Multidetector Computed Tomography ,medicine ,Retroperitoneal space ,Humans ,Retroperitoneal Space ,Aged ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,Medical record ,Retroperitoneal haemorrhage ,Angiography ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,Extravasation ,Surgery ,medicine.anatomical_structure ,Heart failure ,Female ,Radiology ,business ,Tomography, X-Ray Computed - Abstract
Objective To evaluate the role of multidetector computed tomography-angiography (MDCTA) for management of life-threatening spontaneous retroperitoneal haemorrhage (SRH).Methods A retrospective analysis of the medical records of all SRH patients admitted to our hospital from January 1, 2005 to November 31, 2014 was performed. SRH was defined as unrelated to invasive procedures, surgery, trauma, abdominal tumor or aortic aneurysm. Life-threatening SRH was defined as hemodynamic instability with hypotension. Sixteen cases met the inclusive criteria. Patients' characteristics, clinical presentation, imaging of MDCTA, treatment modalities, morbidity, and follow-up data were analyzed.Results The group of 16 patients included 11 men and 5 women, with a mean age of 51.5±16.4 years. All patients underwent MDCTA scan examinations, and active contrast media (CM) extravasation were found in 9 patients. Angiography was performed for 8 patients in the CM extravasation group. Bleeding vessels were found in 7 patients who underwent successful embolization. One patient in the CM extravasation group did not undergo angiography and died of bleeding. Seven patients without active CM extravasation underwent conservative management. Bleeding was controlled for all these 7 patients, and 1 patient died of multiple organ failure. Fourteen patients survived from SRH were successfully discharged. One patient died of heart failure during follow-up.Conclusion MDCTA was useful in the diagnosis of SRH and proved to be predictive for the outcome of conservative treatment and early intervention.
- Published
- 2016
32. An unusual presentation of Wunderlich syndrome.
- Author
-
Bhamrah, J., Ranasinghe, L., and Singh, S. M.
- Subjects
- *
HEMORRHAGE , *ACUTE abdomen , *BLOOD-vessel abnormalities , *ADIPOSE tissues , *SMOOTH muscle - Abstract
Spontaneous renal haemorrhage secondary to renal angiomyolipoma, or Wunderlich syndrome, is rare. Renal angiomyolipomata are composed of abnormal vasculature, smooth muscle and adipose tissue. They are more likely to be symptomatic if they are larger than 4 cm, presenting with a history of flank pain, a palpable mass and rarely gross haematuria. Our case illustrates a rare but catastrophic presentation of Wunderlich syndrome. A 29-year-old woman, with no significant past medical history, presented with sudden onset right-sided abdominal pain. The patient appeared pale and revealed localised peritonitis in the right iliac fossa. A diagnosis of acute appendicitis was made and expeditious laparoscopy was performed. At surgery a large right-sided retroperitoneal haematoma extending to the perinephric area was identified. Due to continuing significant haemorrhage an emergency radical nephrectomy was necessary. The patient made an excellent recovery and the histology confirmed large renal angiomyolipoma as the underlying pathology. This is the first case report of Wunderlich syndrome in a previously asymptomatic fit young patient. This novel presentation of Wunderlich syndrome highlights the diagnostic difficulties when faced with the acute abdomen. This report aims to equip clinicians with knowledge and heightened awareness of this rare condition to optimise patient care. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
33. Rectus sheath hematoma and retroperitoneal bleeding due to rivaroxaban: a case report
- Author
-
Elif Borekci
- Subjects
medicine.medical_specialty ,030231 tropical medicine ,Rectus Abdominis ,Hemorrhage ,03 medical and health sciences ,0302 clinical medicine ,Rivaroxaban ,Rectus sheath hematoma ,Atrial Fibrillation ,medicine ,Humans ,Retroperitoneal Space ,cardiovascular diseases ,retroperitoneal bleeding ,Elderly patient ,Aged ,Hematoma ,business.industry ,Retroperitoneal haemorrhage ,Atrial fibrillation ,Articles ,General Medicine ,medicine.disease ,Surgery ,Stroke prevention ,cardiovascular system ,Female ,Rectus sheath hematoma, retroperitoneal bleeding, rivaroxaban ,Tomography, X-Ray Computed ,business ,Factor Xa Inhibitors ,medicine.drug - Abstract
Rivaroxaban is one of the new anti-coagulants that inhibit Factor Xa and rarely cause rectus sheath hematoma and retroperitoneal haemorrhage which are uncommon, life-threatening complications. Here is a case of an elderly patient on rivaroxaban therapy for the stroke prevention in non-valvular atrial fibrillation who developed rectus sheath hematoma and retroperitoneal bleeding.Keywords: Rectus sheath hematoma, retroperitoneal bleeding, rivaroxaban.
- Published
- 2019
34. Case Report: Partial nephrectomy in primary renal sarcoma presenting as Wunderlich syndrome; a rare tumour with rare presentation managed atypically
- Author
-
Lalgudi Narayanan Dorairajan, Rajeev Kumar, Rajesh Nachiappa Ganesh, Ramanitharan Manikandan, Sreerag Kodakkattil Sreenivasan, and Ketan Mehra
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,030232 urology & nephrology ,Case Report ,Undifferentiated sarcoma ,Kidney ,urologic and male genital diseases ,Nephrectomy ,Renal tumour ,General Biochemistry, Genetics and Molecular Biology ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Renal Sarcoma ,medicine ,Wunderlich syndrome ,Partial nephrectomy ,Humans ,General Pharmacology, Toxicology and Pharmaceutics ,General Immunology and Microbiology ,business.industry ,Retroperitoneal haemorrhage ,Rare entity ,Sarcoma ,Articles ,General Medicine ,medicine.disease ,Kidney Neoplasms ,030220 oncology & carcinogenesis ,Female ,Radiology ,Neoplasm Recurrence, Local ,Presentation (obstetrics) ,business - Abstract
Spontaneous retroperitoneal haemorrhage also called Wunderlich Syndrome (WS) may be caused by various aetiologies. One of the most common causes is renal tumour. Renal sarcoma is a rare cause of WS, and renal sarcoma in itself is a rare entity. In the era of nephron-sparing surgery, optimum management of primary renal sarcoma remains a dilemma as there are limited number of cases available in the literature. Nevertheless, radical nephrectomy remains the recommended treatment, keeping in mind the aggressiveness of the tumour. We report a case of primary undifferentiated renal sarcoma, which presented as WS, and which was managed by partial nephrectomy.
- Published
- 2019
35. Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome.
- Author
-
El Hassani Y, Haloua M, Alami B, Boubbou M, Maaroufi M, and Lamrani MYA
- Abstract
Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome., Competing Interests: The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article., (© 2021. The Authors.)
- Published
- 2021
- Full Text
- View/download PDF
36. Fatal acute necrohaemorrhagic pancreatitis with massive intraperitoneal and retroperitoneal bleeding: a rare cause of exsanguination
- Author
-
Inês Carvalho, Pedro Póvoa, Filipa Moleiro, and Sara Querido
- Subjects
Adult ,Male ,Abdominal pain ,intraperitoneal haemorrhage ,Autopsy ,Hemorrhage ,030230 surgery ,Bioinformatics ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Fatal Outcome ,law ,Exsanguination ,Medicine ,Retroperitoneal space ,Humans ,030216 legal & forensic medicine ,Retroperitoneal Space ,Ranson criteria ,Acute necrohaemorrhagic pancreatitis ,Peritoneal Cavity ,business.industry ,Pancreatitis, Acute Necrotizing ,General Medicine ,medicine.disease ,Intensive care unit ,Advanced life support ,Abdominal Pain ,medicine.anatomical_structure ,retroperitoneal haemorrhage ,Anesthesia ,Pancreatitis ,Acute pancreatitis ,medicine.symptom ,business - Abstract
"An otherwise healthy 37-year-old man was admitted to hospital with uncontrollable vomiting and abdominal pain. Lithiasic acute pancreatitis was diagnosed on the basis of clinical symptoms along with raised serum amylase levels and compatible findings in ultrasonography and CT scan. Two Ranson criteria (lactate dehydrogenase over 350 U/L and aspartate aminotransferase over 250 U/L) were present at admission. The patient was transferred to an intensive care unit (ICU); intravenous crystalloids were prescribed and analgaesics were administered for pain relief. Unexpectedly, 10 h after ICU admission, he presented a cardiac arrest with a non-defibrillate rhythm and died after 40 min of advanced life support. An autopsy was performed and revealed acute necrohaemorrhagic pancreatitis with massive intraperitoneal and retroperitoneal haemorrhage. This case report summarises the epidemiology, pathophysiology and risk factors for fatal bleeding acute pancreatitis." info:eu-repo/semantics/publishedVersion
- Published
- 2016
37. The Classic: Dislocation and Fracture-Dislocation of the Pelvis
- Author
-
F. W. Holdsworth
- Subjects
Joint surgery ,business.industry ,Retroperitoneal haemorrhage ,General Medicine ,Anatomy ,Biographical sketch ,medicine.anatomical_structure ,Pelvic ring ,Dislocation (syntax) ,Fracture fixation ,Fracture (geology) ,Medicine ,Orthopedics and Sports Medicine ,Surgery ,business ,Pelvis - Abstract
This Classic Article is a reprint of the original work by F.W. Holdsworth, Dislocation and fracture-dislocation of the pelvis. An accompanying biographical sketch of F.W. Holdsworth is available at DOI 10.1007/s11999-012-2422-4. Reproduced and adapted with permission and copyright © of the British Editorial Society of Bone and Joint Surgery. Holdsworth FW. Dislocation and fracture-dislocation of the pelvis. J Bone Joint Surg Br. 1948;30:461–466.
- Published
- 2012
38. Deep venous thrombosis and spontaneous retroperitoneal haemorrhage, a fatal combination
- Author
-
Alejandro González-Castro, Ainara Azueta Etxebarria, and Francisco José Gonzalez-Sánchez
- Subjects
medicine.medical_specialty ,Fatal outcome ,business.industry ,Retroperitoneal haemorrhage ,medicine.disease ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Venous thrombosis ,0302 clinical medicine ,medicine.anatomical_structure ,X ray computed ,030220 oncology & carcinogenesis ,medicine ,Retroperitoneal space ,Radiology ,business - Published
- 2017
39. Endovascular Therapy for Patients with Renal Angiomyolipoma Presenting with Retroperitoneal Haemorrhage
- Author
-
Wael E. Saad, Bulent Arslan, M. Incedayi, Saher S. Sabri, John F. Angle, Alan H. Matsumoto, and Ulku C. Turba
- Subjects
Adult ,Male ,medicine.medical_specialty ,Angiomyolipoma ,medicine.medical_treatment ,Hemorrhage ,Nephrectomy ,Endovascular therapy ,Catheterization ,Catheter-directed embolisation ,Diagnosis, Differential ,hemic and lymphatic diseases ,medicine ,Humans ,Retroperitoneal space ,Retroperitoneal Space ,Embolization ,Medicine(all) ,medicine.diagnostic_test ,business.industry ,Retroperitoneal haemorrhage ,Angiography ,Middle Aged ,medicine.disease ,Embolization, Therapeutic ,Kidney Neoplasms ,Surgery ,medicine.anatomical_structure ,Acute Disease ,Female ,Radiology ,Differential diagnosis ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
We report our experience treating four patients with acutely bleeding angiomyolipoma (AML) of sizes between 4 and 12 cm who were managed with endovascular embolisation with a mean follow-up of 10 months. In our case series, we demonstrate that endovascular embolisation in the acute setting for bleeding AMLs is a viable treatment option. AML should be in the differential diagnosis of acutely bleeding renal masses, even when there is no fat assessed by computed tomography (CT) imaging in the renal mass.
- Published
- 2010
- Full Text
- View/download PDF
40. Rehabilitation Training Following Retroperitoneal Haemorrhage: A Case Report and Review of the Literature.
- Author
-
Zhong J, Ma X, Xiang D, and Wang L
- Abstract
We report a case of a Chinese man who developed retroperitoneal haemorrhage almost 1 year after surgery for pelvic fracture (1). To the best of our knowledge, this type of delayed haemorrhaging is rarely observed in clinical practice. We also review the literature to identify the common causes of retroperitoneal haemorrhage in patients undergoing surgery for pelvic fracture and to examine the aetiology of this case., (Journal Compilation © 2020 Foundation of Rehabilitation Information.)
- Published
- 2020
- Full Text
- View/download PDF
41. Monitoring and treating platelet dysfunction following a massive extracorporeal lithotripsy haemorrhage using a PFA-100 platelet function analyser
- Author
-
Moussa Riachy, Sleiman Merhej, Fadi Nasr, Charbel Faraj, Georges Khayat, Jacques Choucair, and Georges Dabar
- Subjects
Platelet dysfunction ,business.industry ,PFA-100 ,medicine.medical_treatment ,Retroperitoneal haemorrhage ,Lithotripsy ,Critical Care and Intensive Care Medicine ,Epinephrine ,Anesthesia ,Medicine ,Platelet ,business ,hormones, hormone substitutes, and hormone antagonists ,Extracorporeal lithotripsy ,medicine.drug - Abstract
Here we discuss the treatment of a post-lithotripsy, retroperitoneal haemorrhage using desmopressine (DDAVP) as monitored using closure time with a PFA-100 device. Five days after lithotripsy the patient's closure time reading (tested with the collagen plus epinephrine cartridge) normalized following DDAVP administration. This report demonstrates the usefulness of the PFA-100 in monitoring the treatment of platelet dysfunction and also evaluates possible contributory causes of this type of haemorrhage.
- Published
- 2006
42. An Unusual Presentation of Chronic Granulomatous Pyelonephritis Presenting as an Acute Spontaneous Retroperitoneal Hemorrhage
- Author
-
CS Ratkal, RP Sanjay, Adittya K. Sharma, G. Venkatesh, Kamath Aj, and Rehan F
- Subjects
medicine.medical_specialty ,Chronic granulomatous ,business.industry ,medicine.medical_treatment ,Retroperitoneal haemorrhage ,medicine.disease ,Nephrectomy ,Surgery ,Xanthogranulomatous pyelonephritis ,Medicine ,Chronic pyelonephritis ,Retroperitoneal hemorrhage ,Presentation (obstetrics) ,business ,Complication - Abstract
Chronic pyelonephritis presenting as retroperitoneal hemorrhage is an unknown complication and to the best of our knowledge there is only one reported case of acute retroperitoneal hemorrhage complicating a Xanthogranulomatous pyelonephritis. We present an atypical case of Xanthogranulomatous pyelonephritis presenting with acute retroperitoneal haemorrhage ending up with nephrectomy.
- Published
- 2013
43. Retroperitoneal Haemorrhage After Traumatic Rupture of a Phaechromocytoma
- Author
-
Guzmán Franch-Arcas, Raúl Sánchez-Jiménez, Carmen González Sánchez, María Teresa Gómez Hernández, and María Cerro-Martínez
- Subjects
medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,General Engineering ,medicine ,business ,Surgery - Published
- 2013
44. Spontaneous retroperitoneal haemorrhage: Diagnostic and therapeutic approach
- Author
-
Arvind Goyal, K Gaitonde, S Nagaonkar, S N Sagade, and M H Kamat
- Subjects
Spontaneous ,Retroperitoneal Haemorrhage ,lcsh:Diseases of the genitourinary system. Urology ,lcsh:RC870-923 - Abstract
Spontaneous retroperitoneal haemorrhage may occur due to variety of causes, but absence of trauma is stressed. In our study often cases, the commonest cause was angiomyolipona (6 cases). Clinical presentation varied, from mild flank pain to shock and oliguria. Ultrasound may be the initial test but CT scan remains the gold standard for diagnosis. Angiography is helpful to look. for vascular defects, and arteriovenous malformations in small renal cell carcinoma. Management varies from conservative approach to radical nephrectomy, depending on etiology.
- Published
- 2001
45. Cullen's sign and haemoglobinuria as presenting signs of retroperitoneal haemorrhage in a dog
- Author
-
Nathan L. Dykes, J. Toll, P. S. McNamara, and Thomas Schermerhorn
- Subjects
Male ,Abdominal pain ,medicine.medical_specialty ,Neutered male ,Ecchymosis ,Hemoglobinuria ,Hemorrhage ,Dogs ,Cullen's sign ,Animals ,Medicine ,Retroperitoneal space ,Dog Diseases ,Retroperitoneal Space ,Small Animals ,Hematoma ,business.industry ,Retroperitoneal haemorrhage ,Splenic mass ,Abdominal mass ,Surgery ,Radiography ,medicine.anatomical_structure ,Shetland Sheepdog ,medicine.symptom ,business ,Spleen - Abstract
Haemoglobinuria and periumbilical discoloration (also known as Cullen's sign) are clinical signs uncommonly reported in veterinary patients. This report describes a case of retroperitoneal haemorrhage in a dog, associated with haemoglobinuria and Cullen's sign. To the authors' knowledge, these clinical signs have not previously been reported singularly or in combination with retroperitoneal haemorrhage in dogs. A neutered male Shetland sheepdog, which was presented for haematuria, also had an abdominal mass, abdominal pain and a large area of periumbilical discoloration. Laboratory studies determined that haemoglobinuria was the cause of the red-coloured urine. Abdominal radiographs suggested a splenic mass and a coeliotomy was performed. During the induction and throughout the anaesthetic period the dog was hypertensive and a large haematoma originating from the right retroperitoneal space was identified at surgery. The cause of the haemorrhage was uncertain but a ruptured phaeochromocytoma was thought possible on the basis of the persistent hypertension and the location of the haemorrhage.
- Published
- 1998
46. Rare Causes of Intra, Abdominal and Retroperitoneal Haemorrhage in Pregnancy
- Author
-
C.Wm. Cole
- Subjects
Pregnancy ,medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,Medicine ,business ,medicine.disease ,Surgical treatment ,Haemorrhagic shock ,Surgery - Abstract
Haemorrhagic shock during pregnancy and the puerperium due to intro-abdominal and retroperitoneal bleeding can be catastrophic for both mother and fetus. Most potential sources of bleeding are not recognized before the event, but for any that are identified, elective control offers the best hope of avoiding disaster. Once bleeding has occurred, prompt investigation and surgical treatment are required. Most obstetricians will have little or no experience through an entire career with the rarest causes of intro-abdominal and/or retroperitoneal bleeding. This paper aims to raise the awareness of practitioners on some unusual sites of catastrophic haemorrhage.
- Published
- 1995
47. Spontaneous Adrenal Haemorrhage as a Manifestation of Isolated Relapse of Non-Hodgkin’s Lymphoma
- Author
-
Vassilios Penopoulos, Panayotis Kaloyannidis, Achilles Anagnostopoulos, Ioanna Sakellari, Photios Iordanidis, Charalambos Kartsios, and Evangelia Yannaki
- Subjects
Adult ,Pathology ,medicine.medical_specialty ,ADRENAL HAEMORRHAGE ,business.industry ,Retroperitoneal haemorrhage ,Adrenal Gland Diseases ,Hemorrhage ,Hematology ,General Medicine ,Disease ,medicine.disease ,Magnetic Resonance Imaging ,Non-Hodgkin's lymphoma ,Recurrence ,immune system diseases ,hemic and lymphatic diseases ,Diffuse large cell lymphoma ,Spontaneous haemorrhage ,Humans ,Medicine ,Female ,Lymphoma, Large B-Cell, Diffuse ,business ,Diffuse large B-cell lymphoma - Abstract
Retroperitoneal haemorrhage due to metastatic disease is a rare event not previously reported in lymphomas. We describe a 36-year-old woman diagnosed with diffuse large B cell lymphoma (DLBCL) of bone marrow, liver and spleen presenting in the leukaemic phase. The patient attained complete remission after ‘ALL-like’ chemotherapy (cyclophosphamide, vincristine, adriamycin, dexamethasone); 22 months later, she developed an isolated central nervous system (CNS) relapse which was successfully managed with a combination of chemotherapy and CNS irradiation. Six months later, she was rehospitalized because of abdominal pain; an MRI revealed a large haemorrhagic mass in the left adrenal. Surgical removal of the lesion confirmed an adrenal relapse of the primary DLBCL.
- Published
- 2003
48. Retroperitoneal Haemorrhage as a Dangerous Complication of Endovascular Cerebral Aneurysmal Coiling
- Author
-
Akira Teramoto and Yasuo Murai
- Subjects
medicine.medical_specialty ,business.industry ,Retroperitoneal haemorrhage ,medicine ,Complication ,business ,Surgery - Published
- 2012
49. Endovascular treatment of massive retroperitoneal haemorrhage due to inferior adrenal artery injury. A case report
- Author
-
Güner Kemal Özgür, Hasan Dinç, Halit Reşit Gümele, Alper Şimşek, and Rasin Ozyavuz
- Subjects
Adult ,medicine.medical_specialty ,Transcatheter embolization ,Hemorrhage ,Wounds, Nonpenetrating ,Adrenal Glands ,Humans ,Medicine ,heterocyclic compounds ,Radiology, Nuclear Medicine and imaging ,Retroperitoneal Space ,Endovascular treatment ,Inferior adrenal artery ,Radiological and Ultrasound Technology ,business.industry ,Retroperitoneal haemorrhage ,Accidents, Traffic ,Rare entity ,food and beverages ,Arteries ,General Medicine ,Embolization, Therapeutic ,Surgery ,Blunt trauma ,Polyvinyl Alcohol ,Female ,Radiology ,Tomography, X-Ray Computed ,business - Abstract
Massive retroperitoneal haemorrhage because of adrenal bleeding following blunt trauma is a rare entity. We describe a 23-year-old woman with massive retroperitoneal haemorrhage as a result of inferior adrenal artery (IAA) disruption following a car accident. Superselective transcatheter embolization of the IAA using polyvinyl alcohol particles was performed successfully to control haemorrhage. To our knowledge, this is the second report of massive retroperitoneal haemorrhage caused by IAA disruption successfully treated by transcatheter embolization.
- Published
- 2002
50. Massive retroperitoneal haemorrhage in a neonate with severe haemophilia 'A'
- Author
-
Grizelj, Ruža, Vuković, Jurica, Bilić, Ernest, and Štern-Padovan, Ranka
- Subjects
congenital, hereditary, and neonatal diseases and abnormalities ,nervous system ,musculoskeletal, neural, and ocular physiology ,hemic and lymphatic diseases ,hemophilia ,retroperitoneal haemorrhage ,macromolecular substances - Abstract
A case report of neonate with severe haemophilia A and massive retroperitoneal haemorrhage.
- Published
- 2011
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