Retroperitoneal haematoma and related organ injury - management approach

Retroperitoneal haematoma following blunt or penetrating trauma may arise f rom injuries to bone, major vascular structures, hollow viscera or solid or gans. Clinical significance varies from inconsequential to fatal. Although the guidelines for exploration are clear-cut during laparotomy for associat ed intra-abdominal injuries, this is not the case with isolated retroperito neal haematoma. Lateral and pelvic haematomas may be selectively explored a nd central haematomas always need exploration. All penetrating wound tracts should be explored, irrespective of the site of the haematoma, to exclude vital structural injury.