2007, Number 3
<< Back Next >>
Rev Hosp Jua Mex 2007; 74 (3)
Abdominal extraperitoneal haematoma diagnosis and treatment: Evolution in the last years
Alarcón JL, Verge J, Asensio A, Marco LM, Albiol J, Encinas X, Pérez X, Martí G, Mayol S
Language: Spanish
References: 13
Page: 161-166
PDF size: 190.67 Kb.
ABSTRACT
Introduction. An increase in the variety and availability of the diagnostic media has taken place in the last years, fact that has helped in the abdominal haematomas diagnosis, but every time are more frequent the patients that being in treatment with anticoagulants present an haematoma, fact that has caused a greater incidence and therapeutic difficulty.
Material and methods. We reviewed all wall and retroperitoneal haematomas gathered in our Service between 1996-2005, as much traumatic postoperating as the spontaneous ones, that affected the anterior or posterior wall and retroperitoneo, excluding intraperitoneals.
Results. Period 1996-200: a postoperating exitus, seven patients affected of haematoma retroperitoneal and three cases of haematoma spontaneous of renal origin. Period 2001-2005: two exitus and two surgical interventions.
Conclusions. In the last years it has increased the proportion of haematomas in non-coagulated patients, thus it has to establish the precocious diagnosis of haematoma, to avoid unnecessary surgeries.
REFERENCES
Rosell PJ, Guerrero FMJA, Vara TR. Hematoma del músculo recto abdominal como falso abdomen agudo (aportación de tres casos). Rev Esp Enf Ap Digest 1998; 74: 385-7.
Miralles BC, Rosell GA, Gelonch RJ, Camps AI, Monreal BM, Oller SB. Hematoma de la pared abdominal y Heparina cálcica por vía subcutánea. Rev Cli Esp 1991; 188: 71-2.
García BI, Macías RMD, Baldonedo CRF, Álvarez PJA, Barreiro JIJ. Hematoma espontáneo de la vaina del recto: un reto diagnóstico. Emergencias 2000; 12: 268-71.
Gouin TI, Pautas E, Siguret V. Safety profile of different low-molecular-weight heparins used at therapeutic dose. Drug Safgety 2005; 28: 333-49.
McKay GA, Paterson KR. Low molecular weight heparins. A safer option than unfractionated heparin? Adverse Drug React Toxicol Rev 2001; 256-76.
Farooq V, Hegarty J, Chandrasekar T, Lamerton EH, Mitra S, Houghton JB, Kalra PA, et al. Serious adverse incidents with the usage molecular weiht heparins in patients with chonic kidney disease. Am J Kidney Dis 2004; 43: 531-7.
Levine MN, Raskob CG, Beyth RJ, Schulman S. Hemorrhagic complications of anticoagulant tratment. The Seventh ACCP Conference on Anthitrombotic and Traombolytic Therapy. Chest 2004; 126: 287S-310S.
Conde MA, Perez CS. Spontaneus retroperitoneal haemoatomas in lelderly patiens treated with low-molecular-weight heparins. J Am Geriatr Soc 2005; 53: 548-9.
Árbol LF, Sánchez FM, Quintana DM, López OP. Hematoma de los músculos rectos abdominales en relación con heparina de bajo peso molecular. An Med Int 2004; 21: 8-10.
Simón AC, Fern RJ, Molina EB, Alarcón LA, Tortosa SA, Carrera GJ, Murillo PJ y cols. Hematoma de la vaina de los rectos: aportación de cuatro casos nuevos. Cir Esp 2000; 67: 200-3.
Wysowsk DK, Tolerico L, Becsenyl J, Bostein P. Spinal and epidural haematoma and low-molecular-weight heparina. N Eng J Med 1998; 338: 1774-5.
Dickinson LD, Miller LD, Patel CP, Grupta SK. Enoxaparin increases the incidences of postoperative intracraneal haemorrhage when initiated preoperatively for deep venous thrombosis prophylaxis in patients with brain tumors.
Suárez AG, Rodríguez MJ, Gómez BMA, Campoy MP, López BF. Hematoma suprarenal por rotura de miolipoma. Aportación de un caso. Acta Urol Esp 2004; 28 (10): 40-3.