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Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition

Published on: September 22, 2023

Extensive retroperitoneal hematoma in blunt trauma.

Muhammad Abdullah¹, Saleh M Al-Salamah

¹From the Department of Surgery, University Surgical Unit, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Saudi Medical Journal

|November 11, 2010

Summary

Extensive retroperitoneal hematoma (RH) in blunt trauma patients is linked to musculoskeletal and intra-abdominal injuries. High injury severity, abnormal coagulation, and chest trauma independently increase mortality risk.

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Area of Science:

Trauma Surgery
Emergency Medicine
Surgical Critical Care

Background:

Retroperitoneal hematoma (RH) is a significant complication of blunt trauma.
Extensive RH presents unique management challenges and carries a high mortality risk.

Purpose of the Study:

To describe the experience of managing extensive RH in blunt trauma patients.
To identify factors influencing the causation and mortality of extensive RH.

Main Methods:

Retrospective observational study of 46 patients with extensive RH from blunt trauma.
Data collected on injury severity score (ISS), associated injuries, hematoma location, transfusions, coagulation, operative management, and outcomes.
Comparison of outcomes between surviving and non-surviving patients.

Main Results:

Overall mortality for extensive RH was 32.6%.
Pelvic fractures and lower extremity fractures were common injuries.
High ISS, abnormal coagulation, and associated chest injuries were independent predictors of mortality.

Conclusions:

Extensive RH is associated with multiple musculoskeletal and intra-abdominal injuries.
Abnormal coagulation is a key factor in both the presence and mortality of extensive RH.
High ISS, abnormal coagulation, and chest injuries are critical independent factors for mortality in extensive RH.