TITLE: | Bilateral ureteral obstruction and renal failure caused by massive
retroperitoneal hematoma: is there a pelvic compartment syndrome analogous to abdominal compartment syndrome? |
| AUTHORS: | Hessmann M; Rommens P |
| AUTHOR AFFILIATION: | Department of Traumatology, University Hospitals of the
Johannes-Gutenberg University, Mainz, Germany. |
| SOURCE: | J Orthop Trauma 1998 Nov-Dec;12(8):553-7 |
| CITATION IDS: | PMID: 9840788 UI: 99054523 |
| ABSTRACT: | OBJECTIVES: To describe an intrapelvic compartment syndrome
analogous to abdominal compartment syndrome and to characterize its diagnosis and treatment. DESIGN: Retrospective analysis. SETTING: Level I
trauma center. PATIENTS: Three patients with pelvic ring or acetabular fractures presented with bilateral ureteral obstruction, renal organ
failure, and anuria due to direct compression of both ureters in the true pelvis by a massive retroperitoneal hematoma. INTERVENTION: Surgical
therapy consisted of fracture stabilization, decompression of the retroperitoneal space, and evacuation of the hematoma. Persistent isolated
bleeding points were either embolized preoperatively or ligated. RESULTS: After decompression, all three patients promptly recovered their renal
organ function. CONCLUSION: An intrapelvic compartment syndrome can be defined as bilateral ureteral obstruction and renal failure caused by a
massive intrapelvic hematoma with increased retroperitoneal pressure. Diagnostic differentiation of anuria in patients with pelvic ring or
acetabular fractures must include intrapelvic compartment syndrome. Early diagnosis and treatment are mandatory. |
| MAIN MESH HEADINGS: |
Acetabulum/*injuries
Compartment Syndromes/*etiology
Fractures/*complications
Hematoma/*complications
Kidney Failure, Acute/*etiology
Pelvic Bones/*injuries
Ureteral Obstruction/*etiology
|
| ADDITIONAL MESH HEADINGS: |
Acetabulum/radiography
Adult
Case Report
Female
Fractures/radiography
Human
Male
Middle Age
Pelvic Bones/radiography
Retroperitoneal Space
1998/12
1998/05 03:45
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| PUBLICATION TYPES: |
JOURNAL ARTICLE
|
| LANGUAGES: |
Eng
|
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