Management of spontaneous and iatrogenic retroperitoneal haemorrhage: Conservative management, endovascular intervention or open surgery?

International Journal of Clinical Practice

Volumn 62, Issue 10, 2008, Pages 1604-1613

  Chan, Y C ^a   Morales, J P ^a   Reidy, J F ^a   Taylor, P R ^a  

^a ST THOMAS HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTERIOGRAPHY; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CORONARY STENT; DECOMPRESSION SURGERY; HEART CATHETERIZATION; HEMODYNAMICS; HUMAN; MAGNETIC RESONANCE ANGIOGRAPHY; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; RETROPERITONEAL HEMATOMA; REVIEW;

ANGIOSCOPY; HEMATOMA; HEMORRHAGE; HUMANS; IATROGENIC DISEASE; RETROPERITONEAL SPACE; TOMOGRAPHY, X-RAY COMPUTED; VASCULAR SURGICAL PROCEDURES;

EID: 51349139436     PISSN: 13685031     EISSN: 17421241     Source Type: Journal    
DOI: 10.1111/j.1742-1241.2007.01494.x     Document Type: Review

References (97)

1. Ritter U. Extensive retroperitoneal hematoma following diagnostic anesthesia of the lumbar sympathetic nerve. Chirurg 1950 21 : 434 5.
2. Scheiber L, Szombathelyi J, Botar G. Retroperitoneal hematoma following acute pancreatitis. Orv Hetil 1951 92 : 1667 9.
3. Estivill Palleja X, Domingo P, Fontcuberta J, Felez J. Spontaneous retroperitoneal hemorrhage during oral anticoagulant therapy. Arch Intern Med 1985 145 : 1531 4.
4. Prabulos AM, Chen HH, Rodis JF et al. Angiographic embolization of a ruptured renal artery aneurysm during pregnancy. Obstet Gynecol 1997 90 : 663 5.
5. Bonamigo TP, Erling N Jr., Faccini FP. Rupture of a saccular renal artery aneurysm: report of a case. Surg Today 2002 32 : 753 5.
6. Cipollone G, Santarelli G, Mucilli F et al. Hemoperitoneum secondary to aneurysm of the pancreatico-duodenal artery: report of a clinical case. Ann Ital Chir 2001 72 : 347 50.
7. Fujisawa T, Sakaguchi K, Onishi Y et al. Ruptured aneurysm of pancreaticoduodenal artery, report of two cases. Nippon Shokakibyo Gakkai Zasshi 2005 102 : 1146 52.
8. Buresta P, Freyrie A, Paragona O, D'Addato M. Ruptured pancreaticoduodenal artery aneurysm. A case report and review of the literature. J Cardiovasc Surg (Torino) 2004 45 : 153 7.
9. Manabe Y, Yoshioka K, Yanada J. Spontaneous rupture of a dissection of the left ovarian artery. J Med Invest 2002 49 : 182 5.
10. Bageacu S, Cuilleron M, Kaczmarek D, Porcheron J. True aneurysms of the pancreaticoduodenal artery: successful non-operative management. Surgery 2006 139 : 608 16.
11. Tappe U, Kristen F, Loffler A, Keller HW. Spontaneous retroperitoneal hematoma in adrenal metastasis. Dtsch Med Wochenschr 1997 122 : 471 4.
12. Demey A, de la Taille A, Vordos D et al. Complications of retroperitoneal laparoscopy based on a series of 500 cases. Prog Urol 2006 16 : 128 33.
13. Lim WC, Leblanc JK. Retroperitoneal bleeding after EUS-guided FNA of a pancreatic mass. Gastrointest Endosc 2006 63 : 499 500.
14. Dabney A, Bastani B. Enoxaparin-associated severe retroperitoneal bleeding and abdominal compartment syndrome: a report of two cases. Intensive Care Med 2001 27 : 1954 7.
15. Pode D, Caine M. Spontaneous retroperitoneal hemorrhage. J Urol 1992 147 : 311 8.
16. Lerer DB, Rozenblit AM, Cynamon J et al. Spontaneous retroperitoneal hemorrhage localized by blood pool scintigraphy. Clin Nucl Med 2004 29 : 96 8.
17. Figler TJ, Keshavarzian A, Nand S, Demos TC. Retroperitoneal amyloidosis, factor IX and X deficiency, and gastrointestinal bleeding. Abdom Imaging 1996 21 : 266 8.
18. Eby CS, Caracioni AA, Badar S, Joist JH. Massive retroperitoneal pseudotumour in a patient with type 3 von Willebrand disease. Haemophilia 2002 8 : 136 41.
19. Lai S, Walker DH, Elghetany MT. Catastrophic antiphospholipid syndrome: a rare cause of disseminated microvascular thrombotic injury - a case report with pathological and molecular correlative studies. Pathol Int 2005 55 : 144 9.
20. Jurisic D, Doko M, Glavan E et al. Spontaneous retroperitoneal haematoma associated with clopidogrel therapy mimicking acute appendicitis. Br J Clin Pharmacol 2006 62 : 248 9.
21. Bhasin HK, Dana CL. Spontaneous retroperitoneal hemorrhage in chronically hemodialyzed patients. Nephron 1978 22 : 322 7.
22. Mant MJ, O'Brien BD, Thong KL et al. Haemorrhagic complications of heparin therapy. Lancet 1977 1 : 1133 5.
23. Forfar JC. A 7-year analysis of haemorrhage in patients on long-term anticoagulant treatment. Br Heart J 1979 42 : 128 32.
24. Ernits M, Mohan PS, Fares LG II., Hardy H III. A retroperitoneal bleed induced by enoxaparin therapy. Am Surg 2005 71 : 430 3.
25. Kalinowski EA, Trerotola SO. Postcatheterization retroperitoneal hematoma due to spontaneous lumbar arterial hemorrhage. Cardiovasc Intervent Radiol 1998 21 : 337 9.
26. Sasson Z, Mangat I, Peckham KA. Spontaneous iliopsoas hematoma in patients with unstable coronary syndromes receiving intravenous heparin in therapeutic doses. Can J Cardiol 1996 12 : 490 4.
27. Khan FY, Hassan IF, Allity MH, Khan SM. Retroperitoneal hematoma following rofecoxib and enoxaparin coadministration in a patient with atrial fibrillation. Saudi Med J 2005 26 : 336 7.
28. Kravitz MS, Mishaal RA, Shoenfeld Y. Renal failure and low molecular weight heparins. A dangerous liaison? The case of retroperitoneal hematoma. Isr Med Assoc J 2005 7 : 600 1.
29. Lopez-Sanchez M, Gonzalez-Fernandez C, Valero-Diaz de Lamadrid C et al. Enoxaparin, retroperitoneal haematoma in the elderly and impaired renal function. Anaesth Intensive Care 2005 33 : 689 90.
30. Kruzel-Davila E, Frajewicki V, Kushnir D et al. Retroperitoneal hematoma in a hemodialysis patient receiving low molecular weight heparin. Isr Med Assoc J 2005 7 : 611 2.
31. Torres GM, Cernigliaro JG, Abbitt PL et al. Iliopsoas compartment: normal anatomy and pathologic processes. Radiographics 1995 15 : 1285 97.
32. Qanadli SD, El Hajjam M, Mignon F et al. Life-threatening spontaneous psoas haematoma treated by transcatheter arterial embolization. Eur Radiol 1999 9 : 1231 4.
33. McCort JJ. Intraperitoneal and retroperitoneal hemorrhage. Radiol Clin North Am 1976 14 : 391 405.
34. Berna JD, Zuazu I, Madrigal M et al. Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy. Abdom Imaging 2000 25 : 230 4.
35. Aronstam A, McLellan DS, Turk P. Transfusion requirements of adolescents with severe haemophilia A. J Clin Pathol 1979 32 : 927 30.
36. Arbini AA, Mannucci PM, Bauer KA. Low prevalence of the factor V Leiden mutation among 'severe' hemophiliacs with a milder bleeding diathesis. Thromb Haemost 1995 74 : 1255 8.
37. Ylmaz S, Oren H, Irken G et al. Life-threatening mediastinal- retroperitoneal hemorrhage in a child with moderate hemophilia A and high inhibitor titer: successful management with recombinant activated factor VII. J Pediatr Hematol Oncol 2005 27 : 400 2.
38. Marquand J, Neveux JY, Guivarch M. Apropos of a case of dissecting haematoma of the abdominal aorta with retroperitoneal and digestive rupture, a complication of lumbar aortography. Mem Acad Chir (Paris) 1963 89 : 804 12.
39. Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol 1953 39 : 368 76.
40. Sreeram S, Lumsden AB, Miller JS et al. Retroperitoneal hematoma following femoral arterial catheterization: a serious and often fatal complication. Am Surg 1993 59 : 94 8.
41. Lubavin BV. Retroperitoneal hematoma as a complication of coronary angiography and stenting. Am J Emerg Med 2004 22 : 236 8.
42. Dorros G, Bates MC, Iyer S et al. Gianturco-Roubin flexible metallic coronary stents in old saphenous vein grafts: in-hospital outcome and 7 day angiographic patency. Eur Heart J 1994 15 : 1456 62.
43. Power GE, Rogers P. Retroperitoneal haematoma associated with low molecular weight heparin. Anaesth Intensive Care 2002 30 : 665 7.
44. Aydin M, Ozeren A, Bilge M et al. Retroperitoneal hematoma following tirofiban and enoxaparin coadministration in a patient with acute coronary syndrome. Thromb Res 2003 111 : 121 3.
45. Levine GN, Kern MJ, Berger PB et al., American Heart Association Diagnostic and Interventional Catheterization Committee and Council on Clinical Cardiology. Management of patients undergoing percutaneous coronary revascularization. Ann Intern Med 2003 139 : 123 36.
46. Brener SJ, Bhatt DL, Moliterno DJ et al. Revisiting optimal anticoagulation with unfractionated heparin during coronary stent implantation. Am J Cardiol 2003 92 : 1468 71.
47. Kent KC, Moscucci M, Mansour KA et al. Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg 1994 20 : 905 13.
48. Waksman R, King SB III., Douglas JS et al. Predictors of groin complications after balloon and new-device coronary intervention. Am J Cardiol 1995 75 : 886 9.
49. Moscucci M, Mansour KA, Kent KC et al. Peripheral vascular complications of directional coronary atherectomy and stenting: predictors, management, and outcome. Am J Cardiol 1994 74 : 448 53.
50. Lumsden AB, Miller JM, Kosinski AS et al. A prospective evaluation of surgically treated groin complications following percutaneous cardiac procedures. Am Surg 1994 60 : 132 7.
51. Farouque HM, Tremmel JA, Raissi Shabari F et al. Risk factors for the development of retroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol 2005 45 : 363 8.
52. Gonze MD, Sternbergh WC III., Salartash K, Money SR. Complications associated with percutaneous closure devices. Am J Surg 1999 178 : 209 11.
53. Nikolsky E, Mehran R, Mintz GS et al. Impact of symptomatic peripheral arterial disease on 1-year mortality in patients undergoing percutaneous coronary interventions. J Endovasc Ther 2004 11 : 60 70.
54. Quint LE, Holland D, Korobkin M, Cascade PN. Role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematomas: CT study in 44 patients. AJR Am J Roentgenol 1993 160 : 855 8.
55. Alomari AI. Retroperitoneal bleeding after inadvertent laceration of an arterial collateral during central venous catheterization; treatment with embolization. Emerg Radiol 2006 12 : 278 81.
56. Money SR, Lepore MR. Iatrogenic vascular trauma. In : Rich NM, Mattox KL, Hirshberg A, eds. Vascular Trauma, 2nd edn. Philadelphia, PA : Elsevier Saunders Publishers, 2004 : 427 42.
57. Parmer SS, Carpenter JP, Fairman RM et al. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg 2006 20 : 536 40.
58. Nobel W, Mark SC, Kubik S. The anatomical basis for femoral nerve palsy following iliacus hematoma. J Neurosurg 1980 52 : 533 40.
59. Goodfellow J, Fearn CB, Matthews JM. Iliacus haematoma. A common complication of haemophilia. J Bone Joint Surg Br 1967 49 : 748 56.
60. Silverstein A. Neuropathy in hemophilia. JAMA 1964 190 : 554 5.
61. Merrick HW, Zeiss J, Woldenberg LS. Percutaneous decompression for femoral neuropathy secondary to heparin-induced retroperitoneal hematoma: case report and review of the literature. Am Surg 1991 57 : 706 11.
62. Ruchholtz S, Waydhas C, Lewan U et al. Free abdominal fluid on ultrasound in unstable pelvic ring fracture: is laparotomy always necessary J Trauma 2004 57 : 278 87.
63. Aikawa H, Tanoue S, Okino Y et al. Pelvic extension of retroperitoneal fluid: analysis in vivo. AJR Am J Roentgenol 1998 171 : 671 7.
64. Lindner A, Zierz S. Images in clinical medicine. Retroperitoneal hemorrhage. N Engl J Med 2001 344 : 348.
65. Scialpi M, Scaglione M, Angelelli G et al. Emergencies in the retroperitoneum: assessment of spread of disease by helical CT. Eur J Radiol 2004 50 : 74 83.
66. Becker CD, Mentha G, Schmidlin F, Terrier F. Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries. Part 2: Gastrointestinal tract and retroperitoneal organs. Eur Radiol 1998 8 : 772 80.
67. Nishimura H, Zhang Y, Ohkuma K et al. MR imaging of soft-tissue masses of the extraperitoneal spaces. Radiographics 2001 21 : 1141 54.
68. Ylmaz S, Oren H, Irken G et al. Life-threatening mediastinal- retroperitoneal hemorrhage in a child with moderate hemophilia A and high inhibitor titer: successful management with recombinant activated factor VII. J Pediatr Hematol Oncol 2005 27 : 400 2.
69. Kondo E, Utsumi M, Hattori M et al. Acquired factor VIII-specific antibody disorder accompanied by a life-threatening retroperitoneal hematoma. Intern Med 1995 34 : 901 3.
70. Leimkuhler K, Bach F, Kobert K et al. Acquired hemophilia A as a cause of postoperative bleeding. Anasthesiol Intensivmed Notfallmed Schmerzther 2003 38 : 359 65.
71. Riess HB, Meier-Hellmann A, Motsch J et al. Prothrombin complex concentrate (Octaplex((R))) in patients requiring immediate reversal of oral anticoagulation. Thromb Res 2007 (in press).
72. Preston FE, Laidlaw ST, Sampson B et al. Rapid reversal of oral anticoagulation with warfarin by a prothrombin complex concentrate (Beriplex): efficacy and safety in 42 patients. Br J Haematol 2002 116 : 619 24.
73. Schneiderman J, Rubin E, Nugent DJ et al. Sequential therapy with activated prothrombin complex concentrates and recombinant FVIIa in patients with severe haemophilia and inhibitors: update of our previous experience. Haemophilia 2007 13 : 244 8.
74. Reinstein L, Alevizatos AC, Twardzik FG, DeMarco SJ III. Femoral nerve dysfunction after retroperitoneal hemorrhage: pathophysiology revealed by computed tomography. Arch Phys Med Rehabil 1984 65 : 37 40.
75. Fealy S, Paletta GA Jr. Femoral nerve palsy secondary to traumatic iliacus muscle hematoma: course after nonoperative management. J Trauma 1999 47 : 1150 2.
76. Sharafuddin MJ, Andresen KJ, Sun S et al. Spontaneous extraperitoneal hemorrhage with hemodynamic collapse in patients undergoing anticoagulation: management with selective arterial embolization. J Vasc Interv Radiol 2001 12 : 1231 4.
77. McPherson J, Teague L, Lloyd J et al. Experience with recombinant factor VIIa in Australia and New Zealand. Haemostasis 1996 26 (Suppl. 1 109 17.
78. Williams DJ, Thomas GO, Pambakian S, Parker PJ. First military use of activated Factor VII in an APC-III pelvic fracture. Injury 2005 36 : 395 9.
79. Isokangas JM, Perala JM. Endovascular embolization of spontaneous retroperitoneal hemorrhage secondary to anticoagulant treatment. Cardiovasc Intervent Radiol 2004 27 : 607 11.
80. Kauppila LI. Blood supply of the lower thoracic and lumbosacral regions. Postmortem aortography in 38 young adults. Acta Radiol 1994 35 : 541 4.
81. Kauppila LI. Prevalence of stenotic changes in arteries supplying the lumbar spine. A postmortem angiographic study on 140 subjects. Ann Rheum Dis 1997 56 : 591 5.
82. Panetta T, Sclafani SJ, Goldstein AS et al. Percutaneous transcatheter embolization for massive bleeding from pelvic fractures. J Trauma 1985 25 : 1021 9.
83. Sclafani SJ, Florence LO, Phillips TF et al. Lumbar arterial injury: radiologic diagnosis and management. Radiology 1987 165 : 709 14.
84. Pathi R, Voyvodic F, Thompson WR. Spontaneous extraperitoneal haemorrhage: computed tomography diagnosis and treatment by selective arterial embolization. Australas Radiol 2004 48 : 123 8.
85. Janik V, Martinek V, Padr R et al. Embolization of lumbar artery due to retroperitonal bleeding following renal biopsy. Nephrol Dial Transplant 2005 20 : 820 2.
86. Wilms G, Baert AL. Embolization of iatrogenic pelvic and retroperitoneal hemorrhage. J Belge Radiol 1989 72 : 279 82.
87. Calarn P, Nonent M, Fournier G et al. Endovascular treatment of traumatic and iatrogenic intrarenal arterial lesions by microcoil embolization. Ann Radiol (Paris) 1996 39 : 234 9.
88. Watarida S, Nishi T, Furukawa A et al. Fenestrated stent-graft for traumatic juxtahepatic inferior vena cava injury. J Endovasc Ther 2002 9 : 134 7.
89. Lindblad B, Brunkwall J, Lindh M et al. Traumatic aortic rupture and retroperitoneal haematoma - treatment including combined operative and endovascular approach. Eur J Vasc Endovasc Surg 1999 17 : 451 5.
90. Park SI, Won JH, Kim BM, Kim JK, Lee DY. The arterial folding point during flexion of the hip joint. Cardiovasc Intervent Radiol 2005 28 : 173 7.
91. Finlay IG, Edwards TJ, Lambert AW. Damage control laparotomy. Br J Surg 2004 91 : 83 5.
92. Howdieshell TR, Proctor CD, Sternberg E et al. Temporary abdominal closure followed by definitive abdominal wall reconstruction of the open abdomen. Am J Surg 2004 188 : 301 6.
93. Loftus IM, Thompson MM. The abdominal compartment syndrome following aortic surgery. Eur J Vasc Endovasc Surg 2003 25 : 97 109.
94. Accola KD, Feliciano DV, Mattox KL et al. Management of injuries to the superior mesenteric artery. J Trauma 1986 26 : 313 9.
95. Mattox KL, Burch JM, Richardson R, Martin RR. Retroperitoneal vascular injury. Surg Clin North Am 1990 70 : 635 53.
96. Leppaniemi AK, Savolainen HO, Salo JA. Traumatic inferior vena caval injuries. Scand J Thorac Cardiovasc Surg 1994 28 : 103 8.
97. Klein SR, Baumgartner FJ, Bongard FS. Contemporary management strategy for major inferior vena caval injuries. J Trauma 1994 37 : 35 42.