Diagnostics of retroperitoneal hematoma caused by back and flank injuries in a multidisciplinary hospital

Abstract

The outcomes of 43 patients with injuries of the lumbar region accompanied by the formation of retroperitoneal hematoma were analyzed. It is established that an objective examination, wounds revision and ultrasound test at admission of a victim to a hospital do not give sufficient information for the identification of retroperitoneal hematoma. Diagnostic laparoscopy allows to reveal injuries of internal organs and to establish indications for laparotomy. Types I and III of retroperitoneal hematoma should be checked in connection with a high risk of damage to the major blood vessels. Refs 14. Fig. 1. Table 1.