Complications of the traumatic retroperitoneal bleedings

Smoliar A.N.; Abakumov M.M.

doi:https://doi.org/

Smoliar A.N.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Complications of the traumatic retroperitoneal bleedings

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Smoliar A.N., Abakumov M.M.

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Journal: Pirogov Russian Journal of Surgery. 2011;(3): 26‑31

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Smoliar AN, Abakumov MM. Complications of the traumatic retroperitoneal bleedings. Pirogov Russian Journal of Surgery. 2011;(3):26‑31. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

To analyze treatment results of patients with retroperitoneal bleedings (RP), they were divided in 3 groups. The first group (n=75) consisted of patients with extensive RP, the second group (n=284) was formed by patients with localized RP. The control group consisted of 77 patients with blunt abdominal trauma without signs of RP. The most frequent RP localization was as follows: lateral right, extended, lateral left, pelvic, combined, inferomedial and anteromedial. Mild trauma of kidney and pelvic bones' fracture were the major causes of localized RP. Severe renal trauma and pelvic fractures led to extensive RP. Significant risk factors of complicated course of the disease were identified. These were pneumonia, septic tracheobronchitis, acute respiratory and renal insufficiency.

Keywords:

trauma

retroperitoneal bleeding

complications

Authors:

Smoliar A.N.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Abakumov M.M.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

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References:

Abakumov M.M., Khovanskii B.F., Nikulin B.I. K voprosu ob organizatsii meditsinskoi pomoshchi pri zakrytoi travme zhivota. Voprosy ekstrennoi khirurgii organov bryushnoi polosti. Trudy NII skoroi pomoshchi im. N.V. Sklifosovskogo 1975; XVIII: 81-83.
Alpaidze B.N. Klinika, diagnostika i lechenie posttravmaticheskikh zabryushinnykh gematom: Avtoref. dis. … kand. med. nauk. M 1985.
Androge G.Dzh., Tobin M.Dzh. Dykhatel'naya nedostatochnost'. M: Meditsina 2003; 528.
Bashirov F.V. Morfofunktsional'noe sostoyanie tonkoi i tolstoi kishki pri zabryushinnoi gematome i ee khirurgicheskom lechenii (eksperimental'noe issledovanie): Avtoref. dis. … kand. med. nauk. Kazan' 1995.
Davletshin A.Kh. Zabryushinnye gematomy pri zakrytoi travme zhivota (Eksperimental'no-klinicheskoe issledovanie): Avtoref. dis. … d-ra med. nauk. Kuibyshev 1990.
Davletshin A.Kh., Dobrokvashin S.V., Akhtyamov I.F., Zulkarneev R.A. Zabryushinnye krovoizliyaniya pri travme zhivota. Kazan': Medok 2007; 200.
Dobrokvashin S.V. Vidy posttravmaticheskikh zabryushinnykh krovoizliyanii, ikh intraoperatsionnaya verifikatsiya i lechenie: Avtoref. dis. … kand. med. nauk. Kazan' 1991.
Levitskii F.A., Babosha V.A., Pasternak V.N. i dr. Profilaktika i lechenie gnoino-nekroticheskikh oslozhnenii tyazhelykh sochetannykh povrezhdenii taza. Klin khir 1987: 4: 40-42.
Lobanov G.V., Pasternak V.N., Mustyats A.P. Travma taza s zabryushinnoi gematomoi, yavivshayasya prichinoi vozniknoveniya mekhanicheskoi neprokhodimosti tolstoi kishki. Klіnіchna khіrurgіya 1995; 4: 49-50.
Nikolaev G.M., Voitsekhovich V.N., Garifullin I.Kh. i dr. Lechenie zabryushinnykh krovoizliyanii pri zakrytykh travmakh zhivota. Khirurgiya 1980; 5: 63-64.
Pronіn V.O. Optimіzatsіya khіrurgіchnoї taktiki pri ushkodzhennyakh organіv zaocherevinnogo prostoru, uskladnenikh zaocherevinnoyu gematomoyu: Avtoref. dis. … kand. med. nauk. Kharkіv 2003.
Sapozhnikova M.A. Morfologiya zakrytoi travmy grudi i zhivota. M: Meditsina 1988; 159.
Allen R.E., Eastman B.A., Halter B.L., Conolly W.B. Retroperitoneal hemorrhage secondary to blunt trauma. Am J Surg 1969; 118: 558-561.
Bellomo R., Ronco C., Kellum J.A. et al. Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004; 8: 4: 204-212.
Henao F., Aldrete J.S. Retroperitoneal hematomas of traumatic origin. Surg Gynecol Obstet 1985; 161: 106-116.
Kataoka Y., Minehara H., Shimada K. et al. Sepsis caused by peripelvic soft tissue infections in critically injured patients with multiple injuries and unstable pelvic fracture. J Trauma 2009; 66: 6: 1548-1554; discussion 1554-1555.
Kawasaki C. A case of traumatic retroperitoneal hematoma with duodenal occlusion. Nippon Geka Hokan 2000; 68: 3-4: 144-149.
Malbrain M.L., Cheatham M.L., Kirkpatrick A. et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I Definitions Intensive Care Med 2006; 32: 11: 1722-1732.
McHenry C.R., Jacobs D.G. Pelvic hematoma necessitans- a delayed complication of massive hemorrhagic pelvic fracture: case report. J Trauma 1994; 36: 6: 887-889.
Montravers P., Villamizar J., Sansom A. et al. Superinfection of posttraumatic retroperitoneal hematoma secondary to ascending urinary tract infection. J Trauma 2001; 50: 5: 931-933.
O'Keefe T.J. Retroperitoneal abscess. A potentially fatal complication of closed fracture of the pelvis. J Bone Joint Surg Am 1978; 60: 1117-1121
Zhang F.Q., Zhang Y.Z., Pan J.S. et al. Pelvic compartment syndrome caused by retroperitoneal hematoma of pelvic fracture. Chin Med J (Engl) 2005; 118: 10: 877-878.