Can Lovenox cause retroperitoneal bleed?
After receiving combination therapy with Lovenox (enoxaparin), aspirin, and Plavix for 5 days, she developed acute hemorrhagic shock and possible intra-abdominal compartment syndrome. Urgent computed tomography scan of the abdomen and pelvis was performed and showed a left retroperitoneal hematoma.
Is a retroperitoneal bleed an emergency?
Retroperitoneal (RP) hematoma or hemorrhage is a rare but potentially life-threatening diagnosis. The presentation and symptoms can be subtle. One can think of RP hematomas in three categories: spontaneous, traumatic, and post-procedural.
Is retroperitoneal hematoma fatal?
Spontaneous retroperitoneal hematoma (SRH) is a severe and potentially fatal complication of anticoagulation therapy.
How do you treat a retroperitoneal bleed?
Interventional treatment in the case of retroperitoneal bleeding involves intra-arterial embolization in case active bleeding is recognized on angiography [9–11], and open surgery is usually reserved for the cases where interventional radiology is unsuccessful or unavailable or if the patient develops abdominal …
What is a retroperitoneal bleed?
Retroperitoneal bleeding occurs when blood enters into space immediately behind the posterior reflection of the abdominal peritoneum. The organs of this space include the esophagus, aorta, inferior vena cava, kidneys, ureters, adrenals, rectum, parts of the duodenum, parts of the pancreas, and parts of the colon.
Which organ is not retroperitoneal?
the head, neck, and body of the pancreas (but not the tail, which is located in the splenorenal ligament) the duodenum, except for the proximal first segment, which is intraperitoneal. ascending and descending portions of the colon (but not the transverse colon, sigmoid or the cecum)
What does retroperitoneal bleeding mean?
How do I know if I have retroperitoneal bleeding?
Retroperitoneal space is behind peritoneum.) Retroperitoneal bleeding is an accumulation of blood in the retroperitoneal space. Signs and symptoms may include abdominal or upper leg pain, hematuria, and shock. It can be caused by major trauma or by non-traumatic mechanisms.
What organs are in retroperitoneal space?
The retroperitoneal space contains the kidneys, adrenal glands, pancreas, nerve roots, lymph nodes, abdominal aorta, and inferior vena cava.
What does it mean if an organ is retroperitoneal?
Anatomical Parts Organs are retroperitoneal if they have peritoneum on their anterior side only. Structures that are not suspended by mesentery in the abdominal cavity and that lie between the parietal peritoneum and abdominal wall are classified as retroperitoneal.
What is the difference between an organ that is primarily retroperitoneal and an organ that is secondarily retroperitoneal?
Retroperitoneal organs are partly covered on one side with parietal peritoneum. The characteristic difference between them is that secondary retroperitoneal organs lost their mesentery during development, while the primary retroperitoneal organs never had mesentery. …
What organ lies in the retroperitoneal space?
What does secondarily retroperitoneal mean?
Secondarily retroperitoneal: organs which had a mesentery once and lost it during development, such as the pancreas, duodenum, ascending and descending colons.
How much blood can the retroperitoneal space hold?
Injury to abdominal organs, especially those in the retroperitoneal space, can bleed as the space can hold a great deal of blood, up to four liters.
What organs are considered secondarily retroperitoneal?
The ascending and descending colon and the duodenum and pancreas are secondary retroperitoneal organs. The left image shows the ascending and descending colon. On the right image, the colon and the stomach have been removed, to display the duodenum and pancreas.
What does it mean to be secondary retroperitoneal?
Secondary retroperitoneal structures originally lied intraperitoneally, but have been pushed aside and adhered to the body wall. Some organs originally lied intraperitoneally, but have been pushed to the side during the embryological development. These organs and their mesenteries adhered to the abdominal wall.
Are the kidneys primary or secondary retroperitoneal?
The oesophagus, rectum and kidneys are all primarily retroperitoneal. Secondarily retroperitoneal organs were initially intraperitoneal, suspended by mesentery. Through the course of embryogenesis, they became retroperitoneal as their mesentery fused with the posterior abdominal wall.
What organ is secondary retroperitoneal?
The ascending and descending colon and the duodenum and pancreas are secondary retroperitoneal organs.