ArticleLa Radiologia medica2015
Spontaneous non-aortic retroperitoneal hemorrhage: etiology, imaging characterization and impact of MDCT on management. A multicentric study.
Article in La Radiologia medica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition.Critical care (London, England) · 2023Guideline
- Article
- Management of spontaneous abdominal wall hematomas: a narrative review with a focus on CTA-negative endovascular cases.CVIR endovascular · 2026Review
- Editorial: Emergency radiology: between unsolved problems and new challenges.Frontiers in radiology · 2026Article
- Spontaneous Rupture of a Renal Artery Branch Aneurysm in a Young Man: A Rare Case of Retroperitoneal Hemorrhage.Cureus · 2025Article
- [Management of anticoagulant-related soft tissue bleeding].Radiologie (Heidelberg, Germany) · 2025Review
- Spontaneous retroperitoneal hematoma treated with transarterial embolization: a systematic review and metanalysis.CVIR endovascular · 2024Review
- Spontaneous rectus sheath and retroperitoneal haemorrhage secondary to enoxaparin injections.Journal of surgical case reports · 2023Article
- Spontaneous Abdominal Wall Hematoma Treated with Percutaneous Transarterial Embolization: Diagnostic Findings, Procedural Outcome, and Efficacy-A Multicenter Study.Journal of clinical medicine · 2023Article
- Spontaneous Pancreatic Hemorrhage: Successful Conservative Management in Two Cases.The American journal of case reports · 2023Article
- Increased reliability of CT-imaging signs of bleeding into soft tissue in patients with COVID-19 for planning transarterial embolization.Abdominal radiology (New York) · 2023Article
- Spontaneous retroperitoneal hematoma: a case report.Journal of medical case reports · 2023Article
- Spontaneous Retroperitoneal Hematoma Treated with Percutaneous Transarterial Embolization in COVID-19 Era: Diagnostic Findings and Procedural Outcome.Tomography (Ann Arbor, Mich.) · 2022Article
- Idiopathic retroperitoneal haematoma causing duodenal obstruction: a case report and review of literature.Annals of the Royal College of Surgeons of England · 2020Review
- Coagulopathy-related soft tissue hematoma: a comparison between computed tomography findings and clinical severity.Acta radiologica open · 2020Article
- Spontaneous Retroperitoneal Hematoma and Membranous Glomerulonephritis; a Case Report.Archives of academic emergency medicine · 2020Article
- The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition.Critical care (London, England) · 2019Article
- Bilateral adrenal haemorrhages: a crucial incidental finding.BJR case reports · 2017Article
- The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition.Critical care (London, England) · 2016Article
- Errors in imaging patients in the emergency setting.The British journal of radiology · 2016Review
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this multicentric study is to assess the usefulness of multiphasic Computed tomography in the identification of spontaneous non-traumatic retroperitoneal hematoma (SRH) and its management, with references to the role of interventional radiology. MATERIALS AND
methodsFrom January 2011 to June 2014, 27 patients with SRH were selected. Patients with aortic, traumatic, or iatrogenic source of bleeding were excluded. All the patients were studied with multiphasic MDCT after injection of intravenous contrast. Digital Subtraction angiography and percutaneous embolization treatment were performed.
resultsCT identified SRH in all cases (100%), showing the source of bleeding in 11 cases (40%) and pointing out the source of bleeding in 15 cases (55%). In one case (5%), the bleeding origin was recognized only at surgery as adrenal source. CT has identified a contrast medium extravasation in the arterial phase in 17 patients (63%), treated successfully by percutaneous embolization in 13 and by open-surgery in two cases. Two patients died before undergoing intervention and surgery, respectively. Ten patients (37%) were non-operatively treated successfully with clinical, laboratory, and imaging follow-up.
conclusionsMultiphasic CT is the gold standard for the identification of a SRH. Recognition of CT signs of active bleeding is the crucial feature influencing the timing of therapeutic treatment. Urgent embolization should be performed in cases of arterial bleeding or contained vascular injuries supplying the retroperitoneal hematoma. Surgery is to be addressed in cases of actively bleeding hematomas associated with complication. Finally, an initial more conservative approach can be adopted in patients without signs of contrast extravasation or low-flow active bleeding. Technical skill, expertise, and recognition of CT signs of arterial active bleeding are critical features influencing patients management.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.