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80 Possible Causes for Pelvic Hematoma, Perineal Pain

  • Pelvic Fracture

    Intestinal or rectal injuries due to pelvic fractures include abdominal pain, rectal bleeding, and peritonitis.[symptoma.com] 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]

  • Traumatic Rupture of the Bladder

    The common clinical presentation of such injury in children can be distension of abdomen due to urinary ascites, lower abdominal pain, inability to void and perineal ecchymosis[ijhas.in] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[emedicine.medscape.com] If the patient is stable, apply ice to the perineal area, the scrotum, or the penis to help relieve pain and swelling.[medical-dictionary.thefreedictionary.com]

  • Ectopic Pregnancy

    Ectopic pregnancy is a condition when fertilized egg implants outside the uterine cavity. The reported incidence is about 0.5-1% of all pregnancies. Retroperitoneal ectopic pregnancies (REP) are extremely rare and early diagnosis and treatment is very difficult. For the adequate management and elimination of risks of[…][ncbi.nlm.nih.gov]

  • Sacral Fracture

    Abstract We report on an unusual impalement injury to the sacrum in a 15-year-old adolescent patient. This open pelvic fracture resulted in a shattered sacrum with neurologic impairment including clinically absent anal sphincter tone and perineal sensation. Early debridement, wound revision, neural decompression,[…][ncbi.nlm.nih.gov]

  • Hemorrhoids

    Twenty-eight hours after surgery, the patient demonstrated signs of soft-tissue perineal necrosis associated with progressive pain and fever.[ncbi.nlm.nih.gov] Rectal perforation, pelvic sepsis, rectal hematoma causing intestinal obstruction and other life-threathening complications Life threatening complications after PPH are usually[doi.org] The recurrence rate after 2 years was 18.3%, and complications included pyrexia, low blood pressure, perineal pain and rectal ulcers, but those were mild [ 17 ].[ncbi.nlm.nih.gov]

  • Endometriosis

    Complications included transient pulmonary febrile responses in 43%, two pelvic infections, and one hematoma. Ileus was not a problem, and there were no deaths.[ncbi.nlm.nih.gov]

  • Urethral Trauma

    At this time, the pelvic hematoma has stabilized and hemorrhage is less of a concern.[traumawiki.opus12.org] , CVA tenderness, upper quadrant mass, perineal lacerations DRE: sphincter tone, position of prostate, presence of blood scrotum: ecchymoses, lacerations, testicular disruption[medbullets.com] […] swelling of the scrotal and perineal areas, and tender enlargement in the suprapubic region due to a full bladder.[aibolita.com]

  • Anorectal Fistula

    Examination may be limited by pain, stricture, or induration of the perianal and perineal tissues. Examination under anesthesia can also overlook the lesion.[insights.ovid.com] Risk Factors Crohn disease Pelvic radiation Perianal trauma; previous anorectal abscess Pelvic carcinoma or lymphoma Ruptured anal hematoma Abscess formation due to acute[unboundmedicine.com] , life-threatening perineal sepsis may develop • Patients with fistula-in-ano may have pain and bloody discharge • Exam findings may include tender perianal or rectal mass[accesssurgery.mhmedical.com]

  • Rectal Prolapse

    CASE REPORT A 39-year-old mentally retarded woman presented with a painful, recurrent, strangulated sigmoid prolapse following a perineal recto-sigmoidectomy (Altemeier's[ncbi.nlm.nih.gov] hematoma, drainage of the presacral pelvic region during surgery is recommended. 22, 36, 45 The converse argument is that a pelvic drain may serve as a source of infection[jamanetwork.com] Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred.[ncbi.nlm.nih.gov]

  • Prolapsed Hemorrhoids

    Delorme mucosal sleeve resection (a perineal surgical procedure). Altemeier perineal rectosigmoidectomy (a perineal surgical procedure).[emedicinehealth.com] […] with pelvic sepsis often requiring a diverting stoma.[ncbi.nlm.nih.gov] What Natural or Home Remedies Treat and Relieve Rectal Prolapse Pain?[emedicinehealth.com]

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