SS  Vol.6 No.5 , May 2015
Pattern of Presentation of Retroperitoneal Hematoma among Sample of Iraqi Patients Attending Surgery Clinic of a Teaching Hospital
Abstract: Background: Retroperitoneal heamorrahge is an acute surgical condition that is associated with difficulty of diagnosis, organ injuries and mortality. Materials and Methods: One hundred and two patients with traumatic retroperitoneal hematoma treated in Al Yarmuk teaching hospital from May 2012 to January 2013 were reviewed retrospectively. The data include patient’s age, type of injury, presenting symptoms, associated injuries and common site of hematoma. Results: In 102 patients, 69 were males (67.6%) and 33 were females (32.3%), mean age of 22 years. The comments presenting symptoms was pain (85.2%), followed by tenderness (73.5%) and shock (58.8%). Around 38.2% were injured by blunt trauma and 61.8% by penetrating trauma. The large bowel was the most common affected organ 26.4%, spleen and kidneys were the second affected organ (23.5%) while the jejunum and ileum were the third associated organs to be affected (14.7%). The commonest complication was septicemia, followed by wound infection. The least reported complications were Pulmonary embolism, Fistula, and Intestinal Obstruction. Conclusion: Traumatic retroperitoneal hematoma is life-threatening condition, early diagnosis and correct treatment is of upmost importance.
Cite this paper: Abdulhussein, B. , Hussein, Y. and Nawar, A. (2015) Pattern of Presentation of Retroperitoneal Hematoma among Sample of Iraqi Patients Attending Surgery Clinic of a Teaching Hospital. Surgical Science, 6, 208-213. doi: 10.4236/ss.2015.65032.

[1]   Farouque, H.O., Tremmel, J.A., Shabari, F.R., Aggarwal, M., Fearon, W.F., Ng, M.K., et al. (2005) Risk Factors for the Development of Retroperitoneal Hematoma after Percutaneous Coronary Intervention in the Era of Glycoprotein IIb/IIIa Inhibitors and Vascular Closure Devices. Journal of the American College of Cardiology, 45, 363-368.

[2]   Selivanov, V., Chi, H.S., Alverdy, J.C., Morris Jr., J.A. and Sheldon, G.F. (1984) Mortality in Retroperitoneal Hematoma. Journal of Trauma and Acute Care Surgery, 24, 1022-1027.

[3]   Monib, S., Ritchie, A. and Thabet, E. (2011) Idiopathic Retroperitoneal Hematoma. Journal of Surgical Technique and Case Report, 3, 49-51.

[4]   Wang, F.B. and Wang, F. (2013) The Diagnosis and Treatment of Traumatic Retroperitoneal Hematoma. Pakistan Journal of Medical Sciences, 29, 573.

[5]   Sharp, K., Spees, E., Selby, L., Zachary, J. and Ernst, C. (1984) Diagnosis and Management of Retroperitoneal Hematomas after Femoral Vein Cannulation for Hemodialysis. Surgery, 95, 90-95.

[6]   Ivascu, F.A., Janczyk, R.J., Bair, H.A., Bendick, P.J. and Howells, G.A. (2005) Spontaneous Retroperitoneal Hemorrhage. The American Journal of Surgery, 189, 345-347.

[7]   Henao, F. and Aldrete, J. (1985) Retroperitoneal Hematomas of Traumatic Origin. Surgery, Gynecology & Obstetrics, 161, 106-116.

[8]   Holting, T., Buhr, H., Richter, G., Roeren, T., Friedl, W. and Herfarth, C. (1992) Diagnosis and Treatment of Retroperitoneal Hematoma in Multiple Trauma Patients. Archives of Orthopaedic and Trauma Surgery, 111, 323-326.

[9]   Murai, Y., Adachi, K., Yoshida, Y., Takei, M. and Teramoto, A. (2010) Retroperitoneal Hematoma as a Serious Complication of Endovascular Aneurysmal Coiling. Journal of Korean Neurosurgical Society, 48, 88-90.

[10]   Schulman, S. and Kearon, C. (2005) Definition of Major Bleeding in Clinical Investigations of Antihemostatic Medicinal Products in Non-Surgical Patients. Journal of Thrombosis and Haemostasis, 3, 692-694.

[11]   Reid, J.D., Kommareddi, S., Lankerani, M. and Park, M.C. (1980) Chronic Expanding Hematomas: A Clinicopathologic Entity. JAMA, 244, 2441-2442.

[12]   Federle, M.P., Crass, R.A., Jeffrey, R.B. and Trunkey, D.D. (1982) Computed Tomography in Blunt Abdominal Trauma. Archives of Surgery, 117, 645-650.

[13]   Cardia, G., Loverre, G., Pomarico, N. and Nacchiero, M. (1999) Traumatic Retroperitoneal Lesions. Annali Italiani di Chirurgia, 71, 457-467.

[14]   Ylmaz, S., Oren, H., Irken, G., Atabay, B., Duman, M., Ylmaz, E., et al. (2005) Life-Threatening Mediastinal-Retroperitoneal Hemorrhage in a Child with Moderate Hemophilia A and High Inhibitor Titer: Successful Management with Recombinant Activated Factor VII. Journal of Pediatric Hematology/Oncology, 27, 400-402.

[15]   Lerer, D.B., Rozenblit, A.M., Cynamon, J., Tubman, G. and Freeman, L.M. (2004) Spontaneous Retroperitoneal Hemorrhage Localized by Blood Pool Scintigraphy. Clinical Nuclear Medicine, 29, 96-98.

[16]   Jurisic, D., Doko, M., Glavan, E., Vidovic, D., Matkovic, K. and Pitlovic, V. (2006) Spontaneous Retroperitoneal Haematoma Associated with Clopidogrel Therapy Mimicking Acute Appendicitis. British Journal of Clinical Pharmacology, 62, 248-249.