Life-threatening Spontaneous Retroperitoneal Haemorrhage： Role of Multidetector CT-angiography for the Emergency Management

• Published in: Chinese medical sciences journal Vol. 31; no. 1; pp. 43 - 48
• Main Authors: Wang, Zhi-wei, Xue, Hua-dan, Li, Xiao-guang, Pan, Jie, Zhang, Xiao-bo, Jin, Zheng-yu
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.03.2016; Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China
• Subjects: Adult; Aged; Angiography; contrast enhanced computed tomography; endovascular embolization; Female; Hemorrhage; Humans; Male; Middle Aged; Multidetector Computed Tomography; Retroperitoneal Space; Retrospective Studies; spontaneous retroperitoneal haemorrhage; Tomography, X-Ray Computed; 像对; 多层螺旋CT; 威胁; 急救; 生命; 管理; 自然; 血管造影; endovascular embolization; spontaneous retroperitoneal haemorrhage; contrast enhanced computed tomography
• ISSN: 1001-9294
• DOI: 10.1016/S1001-9294(16)30021-9

Objective To evaluate the role of multidetector computed tomography-angiography （MDCTA） for management of life-threatening spontaneous retroperitoneal haemorrhage （SRH）. Methods A retrospective analysis of the medical records of all SRH patients admitted to our hospital from January 1, 2005 to November 31, 2014 was performed. SRH was defined as unrelated to invasive procedures, surgery, trauma, abdominal tumor or aortic aneurysm. Life-threatening SRH was defined as hemodynamic instability with hypotension. Sixteen cases met the inclusive criteria. Patients＇ characteristics, clinical presentation, imaging of MDCTA, treatment modalities, morbidity, and follow-up data were analyzed. Results The group of 16 patients included 11 men and 5 women, with a mean age of 51.5＋16.4 years. All patients underwent MDCTA scan examinations, and active contrast media （CM） extravasation were found in 9 patients. Angiography was performed for 8 patients in the CM extravasation group. Bleeding vessels were found in 7 patients who underwent successful embolization. One patient in the CM extravasation group did not undergo angiography and died of bleeding. Seven patients without active CM extravasation underwent conservative management. Bleeding was controlled for all these 7 patients, and 1 patient died of multiple organ failure. Fourteen patients survived from SRH were successfully discharged. One patient died of heart failure during follow-up. Conclusion MDCTA was useful in the diagnosis of SRH and proved to be predictive for the outcome of conservative treatment and early intervention.