Retroperitoneal hematoma: diagnosis and treatment

Česká verze

Authors: D. Janák; V. Rohn
Authors place of work: Klinika kardiovaskulární chirurgie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Motol, Praha
Published in the journal: Rozhl. Chir., 2021, roč. 100, č. 12, s. 569-575.
Category: Souhrnné sdělení
doi: https://doi.org/10.33699/PIS.2021.100.12.569–575

Summary

Retroperitoneal hematoma is a life-threatening condition where early diagnosis and correct treatment are of utmost importance. Bleeding in the retroperitoneal space has a high mortality rate. The aim of this study was to present current published scientific evidence regarding the incidence, mechanism of injury, diagnostic methods and treatment based on a review of international literature covering the last 40 years. The systematic review of the literature was performed using the SCOPUS and PUBMED databases. Publications in English were included. We have not included publications dealing with this issue in children. Systematic reviews showed an increasing trend toward nonsurgical management of retroperitoneal injuries.

Keywords:

trauma – retroperitoneal hematoma – treatment − diagnosis

Zdroje

1. Mondie CH, Maguire NJ, Rentea RM. Retroperitoneal hematoma: In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2021;26.

2. Daly KP, Ho CP, Persson DL, et al. Traumatic retroperitoneal injuries: Review of multidetector CT findings. Radiographics 2008;28(6):1571−1579. doi: 10.1148/rg.286075141.

3. Martin RS, Meredith JW. Gastrointestinal tract injury management of acute trauma. Essential surgical procedures. Section 72. In: Townsend CM, editor. Sabiston textbook of surgery 19th ed. Philadelphia, PA: Saunders 2012:1351–1366.

4. Baekgaard JS, Eskesen TG, Lee JM, et al. Spontaneous retroperitoneal and rectus sheath hemorrhage-management, risk factors and outcomes. World J Surg. 2019 Aug;43(8):1890–1897. doi: 10.1007/ s00268-019-04988-y.

5. Farouque HM, Tremmel JA, Raissi Shabari F, et al. Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol. 2005 Feb 01;45(3):363−368. doi: 10.1016/j.jacc.2004.10.042.

6. Richards JR, McGahan JP. Focused assessment with sonography in trauma (FAST) in 2017: What radiologists can learn. Radiology. 2017 Apr;283(1):30–48. doi: 10.1148/radiol.2017160107.

7. Romano S, Scaglione M, Tortora G, et al. MDCT in blunt intestinal trauma. Eur J Radiol. 2006;59(3):359–366. doi: 10.1016/j. ejrad.2006.05.011.

8. Scaglione M, Pinto F, Lassandro F, et al. Value of contrast-enhanced CT for managing mesenteric injuries after blunt trauma: review of five-year experience. Emerg Radiol. 2002;9(1):26–31. doi: 10.1007/s10140-001-187-2.

9. Zissin R, Gayer G, Kots E, et al. Transcatheter arterial embolisation in anticoagulant- related haematoma – a current therapeutic option: a report of four patients and review of the literature. Int J Clin Pract. 2007;61(8):1321–1327. doi:10.1111/j.1742-1241.2006.01207.x.

10. Pathi R, Voyvodic F, Thompson WR. Spontaneous extraperitoneal haemorrhage: computed tomography diagnosis and treatment by selective arterial embolization. Australas Radiol. 2004;48:123–128. doi: 10.1111/j.1440-1673.2004.01271.x.

11. Isokangas JM, Perala JM. Endovascular embolization of spontaneous retroperitoneal hemorrhage secondary to anticoagulant treatment. Cardiovasc Intervent Radiol. 2004;27:607–611. doi: 10.1007/ s00270-004-0219-x.

12. Petrone P, Alvarez CM, Joseph DA, et al. Abordaje y manejo de las lesiones retroperitoneales traumaticas. Cir Esp. 2018;96:250–259. doi: 10.1016/j.ciresp. 2018.02.021.

13. El-Menyar A, Abdelrahman H, Al-Thani H, et al. Compartmental anatomical classification of traumatic abdominal injuries from the academic point of view and its potential clinical implication. J Trauma Manag Outcomes 2014;1–8. doi: 10.1186/1752-2897-8-14.

14. Feliciano DV. Management of traumatic retroperitoneal hematoma. Ann Surg. 1990;211:109. doi: 10.1097/00000658- 199002000-00001.

15. Manzini N, Madiba TE. The management of retroperitoneal haematoma discovered at laparotomy for trauma. Injury 2014;45:1378. doi: 10.1016/j.injury. 2014.01.026

16. Kwok CS, Kontopantelis E, Kinnaird T, et al. Retroperitoneal hemorrhage after percutaneous coronary intervention: incidence, determinants, and outcomes as recorded by the British Cardiovascular Intervention Society. Circ Cardiovasc Interv. 2018 Feb;11(2):e005866. doi: 10.1161/ CIRCINTERVENTIONS.117.005866.

17. Fortina M, Carta S, Del Vecchio EO, et al. Retroperitoneal hematoma due to spontaneous lumbar artery rupture during fondaparinux treatment. Case report and review of the literature. Acta Biomed 2007;78(1):46–50.

18. Landefeld CS, Beyth RJ. Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med. 1993; 95: 315–327.

19. Won DY, Kim SD, Park SC, et al. Abdominal compartment syndrome due to spontaneous retroperitoneal hemorrhage in a patient undergoing anticoagulation. Yonsei Med J. 2011;52(2):358–361. doi: 10.3349/ymj.2011.52.2.358

20. Schroeppel TJ, Saleem K, Sharpe JP, et al. Penetrating duodenal trauma: a 19- year experience. J Trauma Acute Care Surg. 2016;80:461–465. doi: 10.1097/ TA.0000000000000934.

21. Fraga GP, Biazotto G, Bortoto JB, et al. The use of pyloric exclusion for treating duodenal trauma: case series. Sao Paulo Med J. 2008;126:337–341. doi: 10.1590/s1516- 31802008000600009

22. Bozkurt B, Ozdemir BA, Kocer B, et al. Operative approach in traumatic injuries of the duodenum. Acta Chir Belg. 2006;106:405–408. doi: 10.1080/00015458.2006.11679916

23. Timaran CH, Martinez O, Ospina JA. Prognostic factors and management of civilian penetrating duodenal trauma. J Trauma 1999;47:330–5. doi: 10.1097/00005373- 199908000-00019.

24. Levison MA, Petersen SR, Sheldon GF, et al. Duodenal trauma: experience of a trauma center. J Trauma Inj Infect Crit Care 1984;24:475–480.

25. Petrone P, Moral Álvarez S, González Peréz M, al. Traumatismos de páncreas: manejo y revisión de la literatura. Cir Esp. 2017;95:123–130. doi: 10.1016/j.ciresp. 2016.05.011.

26. Phillips B, Turco L, McDonald D, et al. Penetrating injuries to the duodenum: an analysis of 879 patients from the National Trauma Data Bank, 2010–2014. J Trauma Acute Care Surg. 2017;83:810–7.

27. Tsai R, Raptis C, Schuerer DJ, et al. CT appearance of traumatic inferior vena cava injury. Am J Roentgenol. 2016;207:705– 711. doi: 10.2214/AJR.15.15870.

28. Cudworth M, Fulle A, Ramos JP, et al. GCS as a predictor of mortality in patients with traumatic inferior vena cava injuries: a retrospective review of 16 cases. World J Emerg Surg. 2013;8:59.

29. Raup VT, Eswara JR, Vetter JM, et al. Epidemiology of traumatic adrenal injuries requiring surgery. Urology 2016;94:227– 231.

30. Burns J, Brown M, Assi ZI, et al. Five-year retrospective review of blunt renal injuries at a level 1 trauma center. Am Surg. 2017;83:148–156.

31. Kuan JK, Wright JL, Nathens AB, et al. American Association for the Surgery of Trauma organ injury scale for kidney injuries predicts nephrectomy, dialysis, and death in patients with blunt injury and nephrectomy for penetrating injuries. J Trauma Inj Infect Crit Care. 2006;60:351–356. doi: 10.1097/01. ta.0000202509.32188.72.

32. Coccolini F, Stahel PF, Montori G, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 2017;12:5.

33. Wang F, Wang F. The diagnosis and treatment of traumatic retroperitoneal hematoma. Pak J Med Sci. 2013 Apr;29(2):573- 576. doi: 10.12669/pjms.292.3168

34. Kent KC, Moscucci M, Mansour KA, et al. Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg. 1994 Dec;20(6):905−9010; discussion 910−913.

35. Velmahos GC, Toutouzas KG, Vassiliu P, et al. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries. J Trauma. 2002 Aug;53(2):303−308; doi: 10.1097/00005373-200208000-00019. PMID: 12169938.

36. McPhee M, Arumainayagam N, Clark M, et al. Renal injury management in an urban trauma centre and implications for urological training. Ann R Coll Surg Engl. 2015;97:194–197. doi: 10.1308/00358841 4X14055925061117.

37. Santucci RA, McAninch JW, Safir M, et al. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma Inj Infect Crit Care 2001;50:195−200. doi: 10.1097/00005373-200102000-00002.

38. González C, Penado S, Llata L, et al. The clinical spectrum of retroperitoneal hematoma in anticoagulated patients. Medicine 2003; 82:257−262 doi: 10.1097/01. md.0000085059.63483.36.

39. Malbrain ML. Abdominal pressure in the critically ill: Measurement and clinical relevance. Intensive Care Med. 1999;25:1453–1458. doi: 10.1007/ s001340051098.

40. Makris M, Hough RE, Kitchen S. Poor reversal of low molecular weight heparin by protamine. Br J Haemato. 2002;108(1):884–885. doi: 10.1111/j.1365-2141.2000.1902_2.x.