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Journal of Korean Neurosurgical Society 2002;31(6): 616-619.
A Case of Occult Retroperitoneal Hematoma Associated with Head Trauma.
Yong Sook Park, Hun Joo Kim, Kum Whang, Jhin Soo Pyen, Soon Ki Hong, Myong Soo Kim
1Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
2Department of General Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
The diagnosis and appropriate management of blunt abdominal trauma including retroperitoneal hematoma associated head injury is difficult. In our case, psoas muscle hematoma was revealed during the evaluation of fever. Psoas muscle hematoma most commonly results secondarily from coagulation defect or from retroperitoneal bleeding into the psoas sheath. The presenting signs and symptoms of this case are hypotension and anemia. Pain is also present in the back or abdomen. If it is associated with head injury and not presented massive hemorrhage, the actual diagnosis is not easy. The appropriate management depends on a careful initial evaluation including suspicion of physician, repetitive physical examination, the timely use of diagnostic procedures.
Key Words: Blunt abdominal trauma; Retroperitoneal; Psoas hematoma
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