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Retroperitoneal and Upper Tract Hemorrhage

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Book cover Urological Emergencies

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Spontaneous retroperitoneal hemorrhage (RPH) has multiple etiologies, may be life threatening, and requires a high index of clinical suspicion to diagnose. CT scan is an accurate and sensitive investigation to diagnose the condition. If CT scan fails to determine the cause of the hemorrhage, additional investigations such as MRI and angiography may help clinch the diagnosis in patients that are stable. It is equally important to identify medical causes for RPH such as bleeding disorders (iatrogenic or pathological), or adrenal crisis in the appropriate patients. If no cause of RPH is detectable in spite of various investigative procedures, serial CT scans in a stable patient are a safe and viable approach to ensure that a small renal cell carcinoma (RCC) or other important underlying cause is not missed.

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  1. Oakland University-William Beaumont School of Medicine, Royal Oak, MI, USA

    Frank N. Burks

  2. Department of Urology, The Detroit Medical Center, 4160 John R. Suite 1017, Detroit, MI, 48201, USA

    Richard A. Santucci

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    Hunter Wessells

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Burks, F.N., Santucci, R.A. (2013). Retroperitoneal and Upper Tract Hemorrhage. In: Wessells, H. (eds) Urological Emergencies. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-423-4_13

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