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Home > List Archives

Penetrating lateral retroperitoneal haematoma - do you go in??

Karim Brohi karim at trauma.org
Fri Nov 10 06:17:03 GMT 2006


A quick poll to the group:

Penetrating injury to the abdomen, you're doing a lapararotomy for whatever
reason.  When you get in there's a large lateral retroperitoneal haematoma.
The patient is h(a)emodynamically normal. The haematoma is big but not
pulsatile, not expanding.

You'd leave it if it was blunt trauma.  Standard practice for penetrating
would say explore.

Would YOU go in?

Karim 



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