Retroperitoneal hemorrhage: Difference between revisions
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*Address A, B, C's | *Address A, B, C's | ||
*Resuscitation with blood products | *Resuscitation with blood products | ||
*Reverse coagulopathy | *Reverse [[coagulopathy]] | ||
*Treat underlying etiology | *Treat underlying etiology | ||
==Disposition== | ==Disposition== | ||
*ICU | *ICU | ||
Revision as of 04:26, 6 June 2015
Background
- bleeding into retroperitoneal space
- difficult to diagnose given poor sensitivity of physical exam findings (Cullens, Grey-Turners)
- FAST and DPL do not evaluate retroperitoneal space
- can accumulate 4L blood before tamponade
- must have high clinical suspicion to make diagnosis
Etiologies
- Trauma
- Leaking/ruptured AAA
- Iatrogenic (colonoscopy, cardiac catheterization)
- Spontaneous (coagulopathy)
- Hemorrhagic pancreatitis
Clinical Features
- May present with abdominal, flank or back pain
Differential Diagnosis
Diagnosis
- CT scan abdomen/pelvis
Management
- Address A, B, C's
- Resuscitation with blood products
- Reverse coagulopathy
- Treat underlying etiology
Disposition
- ICU
See Also
External Links
References
- CURRENT Diagnosis and Treatment Emergency Medicine 7th ed