Signs of retroperitoneal bleeding

Source:http://daquandisease.com/signs-of-retroperitoneal-bleeding/ Symptoms of retroperitoneal bleeding High misdiagnosis rate of retroperitoneal bleeding, the reason is the injury complicated abdominal internal organs lack of knowledge of retroperitoneal hemorrhage, splenic rupture, or only pay attention to the diagnosis of pelvic fractures, while ignoring the retroperitoneal injury.The diagnosis of abdominal trauma based on (parts of the level of violence and other medical history) and the typical symptoms and signs, combined with B-mode ultrasound examination, abdominal CT and X-ray, if necessary, to do or excretory urography angiography. Clinical manifestations of hemorrhage depends on the speed, volume, caused by reasons, location and involvement of organs, such as bleeding are small, confined, difficult to have a fixed typical performance, especially when complicated by complex injury, the symptoms more easily concealed. Majority of patients the disease progressed very quickly, in hours or days of the onset of symptoms, clinical course of a few hidden after, late in anemia and mass. The main symptoms are abdominal pain, abdominal pain is the earliest and the most common symptoms of varying degree of severity can be limited or diffuse, position in the abdomen, lateral abdomen, waist or hips in the back or sacral, sometimes squatting can ease.Other common symptoms include nausea, vomiting, constipation or mild diarrhea, decreased bowel, abdominal distension and paralytic ileus and so on.In severe cases, may be associated with hemorrhagic shock and severe anemia, blood loss and retroperitoneal nerve stimulation can cause sweating, palpitations, hypotension, syncope or shock.Some patients had transient fever.With the progression of the disease can occur in paralytic ileus, hematoma, mesenteric vascular compression, it can cause local intestinal loop necrosis.Hematoma, nerve, it can lower extremity neuropathic pain, numbness, and even dysfunction.Hematoma can affect the solar plexus, making autonomic dysfunction, gastrointestinal tract and urinary tract appears peristalsis and excretion dysfunction. Check local abdominal tenderness, and sometimes in the abdomen, side of the palpable mass in the abdomen or the waist or full, in general no or only mild abdominal strain.When the hematoma ruptured into the abdominal cavity, or with intra-abdominal organ injury, may be associated with intestinal paralysis.For severe arterial bleeding, mass can be rapidly swell and even beating.Bleeding near the skin, such as the waist, the Ministry of the abdominal wall and scrotum appear ecchymosis.Hematoma ruptured into the abdominal cavity, often appear shock and peritoneal irritation.Occasional femoral nerve involvement, there quadriceps weakness and knee tendon reflexes special performance. Symptoms of retroperitoneal bleeding High misdiagnosis rate of retroperitoneal bleeding, the reason is the injury complicated abdominal internal organs lack of knowledge of retroperitoneal hemorrhage, splenic rupture, or only pay attention to the diagnosis of pelvic fractures, while ignoring the retroperitoneal injury.The diagnosis of abdominal trauma based on (parts of the level of violence and other medical history) and the typical symptoms and signs, combined with B-mode ultrasound examination, abdominal CT and X-ray, if necessary, to do or excretory urography angiography. Clinical manifestations of hemorrhage depends on the speed, volume, caused by reasons, location and involvement of organs, such as bleeding are small, confined, difficult to have a fixed typical performance, especially when complicated by complex injury, the symptoms more easily concealed.Majority of patients the disease progressed very quickly, in hours or days of the onset of symptoms, clinical course of a few hidden after, late in anemia and mass. The main symptoms are abdominal pain, abdominal pain is the earliest and the most common symptoms of varying degree of severity can be limited or diffuse, position in the abdomen, lateral abdomen, waist or hips in the back or sacral, sometimes squatting can ease.Other common symptoms include nausea, vomiting, constipation or mild diarrhea, decreased bowel, abdominal distension and paralytic ileus and so on.In severe cases, may be associated with hemorrhagic shock and severe anemia, blood loss and retroperitoneal nerve stimulation can cause sweating, palpitations, hypotension, syncope or shock.Some patients had transient fever.With the progression of the disease can occur in paralytic ileus, hematoma, mesenteric vascular compression, it can cause local intestinal loop necrosis.Hematoma, nerve, it can lower extremity neuropathic pain, numbness, and even dysfunction.Hematoma can affect the solar plexus, making autonomic dysfunction, gastrointestinal tract and urinary tract appears peristalsis and excretion dysfunction. Check local abdominal tenderness, and sometimes in the abdomen, side of the palpable mass in the abdomen or the waist or full, in general no or only mild abdominal strain.When the hematoma ruptured into the abdominal cavity, or with intra-abdominal organ injury, may be associated with intestinal paralysis.For severe arterial bleeding, mass can be rapidly swell and even beating.Bleeding near the skin, such as the waist, the Ministry of the abdominal wall and scrotum appear ecchymosis.Hematoma ruptured into the abdominal cavity, often appear shock and peritoneal irritation.Occasional femoral nerve involvement, there quadriceps weakness and knee tendon reflexes special performance.