CASE 533: RETROPERITONEAL HEMATOMA, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 60YO WITH ACUTE  EPIGATRIC PAIN.

ULTRASOUND EMERGENCY  OF ABDOMEN DETECTED  =
U S 1 :  RIGHT KIDNEY HYDRONEPHROSIS IN FIRST DEGREE).

U S 2 : ONE  9CM MASS   AT BIFURCATION OF ABDOMINAL AORTA TO PELVIS,  HYPOECHOIC STRUCTURE  WITH DEPLACEMENT OF R/L ILIAC ARTERIES).

U S 3: THIS MASS  AT LEFT ILIAC ARTERY.

U S 4 : THIS MASS AT RIGHT ILIAC ARTERY. IT COULD BE A HEMATOMA IN RETROPERITONEUM.
  

EMERGENCY CT CE OF ABDOMEN=

C T 1 : CROSSED SECTION AT R/L KID  SHOWS HYPOPERFUSION IN RIGHT KIDNEY.

C T 2 : CROSSED SECTION AT PELVIS MASS  RUPTURE OF ILIAC ANEURYSM.

C T 3:  FRONTAL VIEW.

C T 4: SAGITTAL VIEW OF  THIS MASS.

C T 5: 3D  VASCULAR  RECONSTRUCTION WITH 2 MASSES LEAKING OF CONTRAST AT R/L ILIAC ARTERIES.

EMERGENCY ENDOVASCULAR  STENTING  OF R/L COMMUN ILIAC ARTERIES WAS DONE SUCCESSFULLY.

SUMMARY:  HEMATOMA IN RETROPERITONEUM DUE TO RUPTURES OF R/L COMMUN ILIAC ARTERIES ANEURYSMS  DETECTED BY ULTRASOUND AND CT WITH CE.