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20 Possible Causes for Decreased Bowel Sounds, Pelvic Hematoma

  • Retroperitoneal Hematoma

    One complication of femoral artery catheterization is postprocedure pelvic hematoma. These hematomas can be difficult to differentiate from adnexal masses.[ncbi.nlm.nih.gov] Centro-medial hematoma was found in 31 patients, lateral hematoma in 36 patients, pelvic hematoma in 35 and pelvic-central hematoma in six patients.[pjms.com.pk] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[medicalopedia.org]

  • Pelvic Fracture

    The pseudoaneurysm was successfully treated with selective coil embolization and hematoma evacuation.[ncbi.nlm.nih.gov] Contrast-enhanced computed tomography showed a left external iliac vein laceration with active bleeding and retroperitoneal hematoma as well as complex pelvic and left supracondylar[ncbi.nlm.nih.gov] Initial magnetic resonance imaging scan and pelvic X-ray at the time of the injury showed no evidence of pelvic fracture or vascular damage.[ncbi.nlm.nih.gov]

  • Traumatic Rupture of the Bladder

    bowel sounds, bruising Genitourinary exam: Blood at meatus, gross hematuria, clots in the urine, scrotal/urethral hematoma, free floating or high riding prostate, unstable[tipsdiscover.com] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[emedicine.medscape.com] Sign and Symptoms of Bladder Injury Pelvic fracture: Pelvic pain, pelvic instability, shock, gluteal hematoma, abdominal tenderness.[urology-textbook.com]

  • Diverticular Abscess

    Bowel sounds often are decreased but may be normal early in the condition or increased in the presence of obstruction.[aafp.org] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[unboundmedicine.com] sounds) Thrombocytopenia (platelet count –1 ) Hyperbilirubinemia (plasma total bilirubin 4 mg/dL or 70 μmol/L) Tissue perfusion variables: Hyperlactatemia ( 1 mmol/L) Decreased[liebertpub.com]

  • Retroperitoneal Hemorrhage

    Contrast computed tomography (CT) revealed an extensive abdominal-pelvic, retroperitoneal hematoma extending approximately 15 cm in length from above L5 cephalad to below[ncbi.nlm.nih.gov] Surgery After blunt trauma, selected retroperitoneal hematomas in the lateral perirenal and pelvic areas do not require operation and should not be opened if discovered at[medicalopedia.org] […] vein ligation, 1 removal of hematoma, and 1 repair of iliac vein, thrombectomy, and endovascular stent placement.[ncbi.nlm.nih.gov]

  • Abdominal Injury

    Most common in this situation are mesenteric hematoma, devascularization of the bowel, severe damage leading to rupture of the bowel wall, bruising, and hemorrhage of the[nursingcenter.com] When a quick stop whips the upper torso forward, the seat belt above the bony pelvic girdle can momentarily trap the viscera against the spine and impose shearing and compression[nursingcenter.com]

  • Volvulus

    Figure 4: Axial CT scan of pelvic objectifying moderately abundant hemoperitoneum at the Dougla’s pouch.[omicsonline.org] […] objectifying an abnormal topography of jejunum and radial aspect of the mesenteric vessels in favor of a volvulus of the jejunum which is site of an extensive intramural hematoma[omicsonline.org]

  • Hemoperitoneum

    […] formed by the intra-pelvic medial migration of the K wire.[msjonline.org] […] to tuberculosis, the case of a 20-year-old male who presented with Hemoperitoneum, a general surgical complication which occurred due to the rupture of a retro-peritoneal hematoma[msjonline.org]

  • Intestinal Obstruction

    When the patient has a mechanical obstruction, the doctor will first hear active, high-pitched gurgling and splashing bowel sounds while listening with a stethoscope.[medical-dictionary.thefreedictionary.com] […] related to underlying etiology Risk Factors Previous abdominal and/or pelvic surgery (particularly with open surgical techniques) Hernia Chronic constipation Cholelithiasis[unboundmedicine.com] Later these sounds decrease, then stop. If the blockage is complete, the patient will not pass any gas or feces.[medical-dictionary.thefreedictionary.com]

  • Retroperitoneal Abscess

    Abdominal examination revealed distension of abdomen, diffuse abdominal tenderness along with guarding, rigidity and absent bowel sounds.[ispub.com] Extension of fluid collections Pelvic Extension By the infrarenal retroperitoneal space 27. Retroperitoneal Hematomas 28.[slideshare.net] […] inflammatory disease Renal insufficiency Retroperitoneal hematoma Surgery (GI or GU) Urinary tract infections -- To view the remaining sections of this topic, please sign[unboundmedicine.com]

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