Penetrating lateral retroperitoneal haematoma - do you go in??

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You need to take a look, Karim.  At least that is what I would do.  Too
much back there to not look when something moving and sharp has
traversed the planes.  Way different than blunt.

Just my opinion, though.  I am going to be interested in seeing what
the rest of y'all would do............

Take care,
Ron

>>> "Karim Brohi" <karim at trauma.org> 11/10/2006 1:17 AM >>>
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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