두부외상 환자에서 조기에 발견하지 못한 후복막 혈종- 증 례 보 고 -A Case of Occult Retroperitoneal Hematoma Associated with Head Trauma- Case Report -
- Authors
- 박용숙; 김헌주; 황금; 변진수; 홍순기; 김명수
- Issue Date
- Jun-2002
- Publisher
- 대한신경외과학회
- Keywords
- Blunt abdominal trauma· Retroperitoneal· Psoas hematoma.; Blunt abdominal trauma· Retroperitoneal· Psoas hematoma.
- Citation
- 대한신경외과학회지, v.31, no.6, pp 616 - 619
- Pages
- 4
- Journal Title
- 대한신경외과학회지
- Volume
- 31
- Number
- 6
- Start Page
- 616
- End Page
- 619
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/56245
- ISSN
- 2005-3711
1598-7876
- Abstract
- 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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