Abstract
Retroperitoneal hematoma from trauma often represents a life-threatening injury. As the retroperitoneum is an area that is difficult to access by physical examination, management depends on the grade and severity of the damaged structures. The division into three retroperitoneal zones as suggested by Selivanov facilitates decision making. Most vascular injuries can be managed by surgical control; however, venous injuries are sometimes difficult to assess completely and damage control approach should be considered. This same principle should be used in retroperitoneal hematoma from pelvic fractures, in combination with the start of a massive transfusion protocol. Stabilization of the pelvic fracture with external devices or fixators and surgical or endovascular (angioembolization) control of the hemorrhage are the keystones of the treatment.
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© 2014 Springer-Verlag Italia
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Lubbert, P.H., Hsee, L.C., Civil, I.D. (2014). Major Retroperitoneal Vascular Trauma. In: Di Saverio, S., Tugnoli, G., Catena, F., Ansaloni, L., Naidoo, N. (eds) Trauma Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5459-2_17
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DOI: https://doi.org/10.1007/978-88-470-5459-2_17
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