Penetrating lateral retroperitoneal haematoma - do you go in? ?

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-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Ronald Gross
Sent: Friday, November 10, 2006 5:27 AM
To: trauma-list at trauma.org
Subject: Re: Penetrating lateral retroperitoneal haematoma - do you go in??


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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