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Retroperitoneal Collections

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Saeed Al-Shomimi
Saeed Al-Shomimi
Gesundheit & Medizin
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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
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
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Plane Extensions
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[object Object],[object Object]
Interfascial Planes ,[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]
Extension of fluid collections ,[object Object],[object Object],[object Object]
Extension of fluid collections ,[object Object],[object Object]
Extension of fluid collections ,[object Object],[object Object]
Retroperitoneal Hematomas
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]
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]
Pelvic fracture w/ Hematoma ,[object Object],[object Object],[object Object]
Approach to RPH
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]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object]
Approach to RPH ,[object Object],[object Object],[object Object],[object Object]
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]
Approach to RPH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Approach to RPH ,[object Object]
Approach to RPH ,[object Object]
Thank You
References… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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