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Radiological differential diagnosis and management of retroperitoneal hematomas posterior to radical inguinal
Santiago Escobar-Urrejola1, Gastón Astroza2, Felipe Del Valle2
1Emergency Department, Hospital Sótero del Río, Avenida Concha y Toro 3459, Puente Alto, Región Metroplitana, 81500000, Chile.
Introduction:
Retroperitoneal hematomas are rare complications of radical inguinal orchiectomy. This case report discusses their radiological differential diagnosis and management.
Case Presentation:
A radical inguinal orchiectomy was performed on a 27-year-old patient. After discharge, he referred back pain. Computed tomography showed a retroperitoneal hematoma. A conservative approach was decided.
Discussion:
Traditionally, retroperitoneal hematomas have been considered possible radiologic pitfalls, which has therapeutical implications. This pitfall seems less likely in contemporary clinical practice.A conservative approach is preferred in stable patients, whereas active management should be offered to unstable patients.
Conclusion:
Future studies are necessary to offer evidence-based therapeutical options.
