Related Experiment Video
Updated: Jun 6, 2026
07:18
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.
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.
Related Concept Videos
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:17Hemorrhagic Stroke l: Introduction
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...