J Korean Neurosurg Soc.  2002 Jun;31(6):616-619.

A Case of Occult Retroperitoneal Hematoma Associated with Head Trauma

• Park YS
• Kim HJ
• Whang K
• Pyen JS
• Hong SK
• Kim MS

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.

Keyword

Blunt abdominal trauma; Retroperitoneal; Psoas hematoma

MeSH Terms

Abdomen
Anemia
Craniocerebral Trauma*
Diagnosis
Fever
Head*
Hematoma*
Hemorrhage
Hypotension
Physical Examination
Psoas Muscles