Retroperitoneal Collections

Retroperitoneal Collections; Causes , Diagnosis and Management Dr Maha Khalid AL Madi Urology Resident KFHU – Khobar – Saudi Arabia 2010

Objective… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Retroperitoneal Anatomy ,[object Object]

Retroperitoneal Anatomy ,[object Object],[object Object],[object Object]

Retroperitoneal Anatomy ,[object Object],[object Object],[object Object],[object Object]

Retroperitoneal Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Interfascial Planes ,[object Object],[object Object]

Interfascial Planes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Retroperitoneal collections & their extensions

Types of Collections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Extension of fluid collections ,[object Object],[object Object]

Extension of fluid collections ,[object Object],[object Object],[object Object]

Causes factor IX ,X deficiency, von Willebrand APL syndrome anticoagulation* *0.6-6.6% of patients undergoing therapeutic anticoagulation. Management of Spontaneous and Iatrogenic Retroperitoneal Haemorrhage: nt J Clin Pract. 2008; Injury ( to bony structures, major vessels, intestinal or retroperitoneal viscera) Iatrogenic

Great Vessel Injuries ,[object Object],[object Object]

Perirenal Hematomas ,[object Object],[object Object],[object Object],[object Object]

Perirenal Hematomas ,[object Object],[object Object]

Pelvic fracture w/ Hematoma ,[object Object],[object Object],[object Object]

Approach to RPH ,[object Object],[object Object],[object Object],[object Object]

Approach to RPH ZONE 1 ZONE 2 ZONE 3

Approach to RPH ,[object Object],[object Object]

zone I (central) retroperitoneal hematoma with active extravasation from ruptured AAA

Approach to RPH ,[object Object],[object Object],[object Object]

Large zone II (lateral) retroperitoneal hematoma From renal injury

Approach to RPH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approach to RPH ,[object Object],[object Object],[object Object],[object Object],[object Object]

Approach to RPH ,[object Object]

References… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Retroperitoneal Collections

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Retroperitoneal Collections