Non-traumatic spontaneous retroperitoneal bleeding: The effect of an early and accurate diagnosis

Erick Sierra-Díaz, Melissa Valery Belmonte-Hernández, Martha Arisbeth Villanueva-Pérez, Mariana García-Gutiérrez
2015 Cirugía y Cirujanos (English Edition)  
Spontaneous sub-capsular or peri-renal haemorrhage (Wunderlich syndrome) is a rare condition that involves a diagnostic challenge. In many cases, bleeding leads to haemodynamic instability that may be life threatening. Therefore, it is important to have a high clinical suspicion for timely action. Objective: This paper highlights the experience of the Urology Department of the Centro Médico Nacional de Occidente del Instituto Mexicano del Seguro Social. Material and methods: Retrospective study
more » ... Retrospective study of consecutive non-randomized sampling. The Emergency Service Registry was reviewed for all admissions from 1 January 2010 to 31 December 2013 to identify patients with non-traumatic spontaneous retroperitoneal haemorrhage. Patient charts were reviewed to determine sex, age, vital signs, laboratory and imaging results, associated diseases, management, and outcomes. Results: A total of 11 patients met the inclusion criteria for the study. All patients were received in the Emergency Department referred from secondary care hospitals. None of them were referred with a diagnosis of spontaneous retroperitoneal haemorrhage. The diagnosis was made in 100% of patients with abdominal CT scan. All patients received urgent surgical management on the day of admission due to haemodynamic instability. Ten patients underwent ଝ Please cite this article as: Sierra-Díaz E, Belmonte-Hernández MV, Villanueva-Pérez MA, García-Gutiérrez M. Hemorragia retroperitoneal espontánea no traumática: efecto del diagnóstico preciso y oportuno. Cir Cir. 2015;83:206---10.
doi:10.1016/j.circen.2015.09.019 fatcat:upaqq2lxl5bfzli75gfrsyoa54