Retroperitoneal Hemorrhage (Flank Bleeding)
Description
Bleeding in the muscle and tissues behind the abdominal wall cavity. The bleeding can occur spontaneously in patients with a bleeding disorder (cirrhosis, hemophilia), in those taking anticoagulants (warfarin, aspirin, clopridigel), after a medical procedure, or after trauma. At times it occurs spontaneously and no reason is discovered. The bleeding can be severe and result in death.
Symptoms
Back pain, flank pain, blue-purple discoloration of the back, weak pulse, dizzy with standing, weakness, fainting, coma.
Tests
A history and physical exam will be performed. Blood and imaging tests will be done to establish the diagnosis and the extent of the disease.
- CBC
- Chem 12
- X-Ray
- EKG
- CT Scan
- MRI
Treatment
Reversing any blood clotting abnormalities and transfusing blood are the primary treatment options. Angiography and clotting off the bleeding vessel is sometimes performed. Surgery is rarely needed.
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