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21 Possible Causes for Pelvic Hematoma, Perineal Pain, Retroperitoneal Abscess

  • Traumatic Urinary Bladder Rupture

    Giant retroperitoneal abscess caused by extraperitoneal bladder rupture after instrumental vaginal delivery. Eur J Obstet Gynecol Reprod Biol 2011;158:368-9. 5.[] Additionally, the bladder may assume a teardrop shape secondary to compression from a pelvic hematoma.[] First this patient is at risk for arterial injury with pelvic hematoma, rectal, vaginal injury and bladder injury.[]

  • Urethral Trauma

    Complications occurred in 36.2% ( 34) of cases, including retroperitoneal abscesses, infected urinomas and fistulas; these were usually secondary to a delay in diagnosis.[] , CVA tenderness, upper quadrant mass, perineal lacerations DRE: sphincter tone, position of prostate, presence of blood scrotum: ecchymoses, lacerations, testicular disruption[] At this time, the pelvic hematoma has stabilized and hemorrhage is less of a concern.[]

  • Hemorrhoids

    Subsequent necrosis of the underlying tissues produced a rectal perforation and retroperitoneal abscess, which necessitated emergency laparotomy and defunctioning colostomy[] 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 ].[] Rectal perforation, pelvic sepsis, rectal hematoma causing intestinal obstruction and other life-threathening complications Life threatening complications after PPH are usually[]

  • Rectal Trauma

    Infectious complications (wound infection, bacteremia, intraabdominal abscess, retroperitoneal abscess) were compared between the PATH and PREV groups.[] Rectal analgesia for pain from perineal trauma following childbirth Rectal suppositories give short‐term pain relief for perineal trauma after childbirth.[] […] fractures or hematoma a high riding prostate suggestive of posterior urethral disruption tenderness from ruptured viscus or intraperitoneal hemorrhage NEGATIVES OF PERFORMING[]

  • Anorectal Fistula

    Supralevatoric: This abscess is located in the retroperitoneal fat outside the rectal wall and above the levator muscle.[] Examination may be limited by pain, stricture, or induration of the perianal and perineal tissues. Examination under anesthesia can also overlook the lesion.[] Risk Factors Crohn disease Pelvic radiation Perianal trauma; previous anorectal abscess Pelvic carcinoma or lymphoma Ruptured anal hematoma Abscess formation due to acute[]

  • Intraperitoneal Abscess in the Right Lower Quadrant

    Indeed, many retroperitoneal abscesses arise from disorders of the abdominal viscera; more than two thirds of patients with retroperitoneal abscesses also have underlying[] , unspecified R1011Right upper quadrant pain R1012Left upper quadrant pain R1013Epigastric pain R102Pelvic and perineal pain R1030Lower abdominal pain, unspecified R1031Right[] […] and ureter – nephrolithiasis (ureteric colic) In females (gynecologic) – Right ovary – ovarian cyst rupture, ovarian torsion, endometriosis Right fallopian tube – acute pelvic[]

  • Diverticular Abscess

    Abscesses behind the abdominal cavity (called retroperitoneal abscesses) lie behind the peritoneum, the membrane that lines the abdominal cavity and organs.[] A 49-year-old woman presented with perineal pain, pyuria and inflammatory reaction.[] […] inflammatory disease, hematoma, tumor, and inflammation of the iliopsoas compartment Diagnostic Tests & Interpretation Initial Tests (lab, imaging) Labs: WBC ( 10,000/mL)[]

  • Tubo-Ovarian Abscess

    The stage II classification of Hinchey et al. shows the formation of retroperitoneal or pelvic abscess secondary to diverticular perforation.[] […] pruritis, anorexia or abdominal pain.[] […] malignancy complex diverticular abscess complex appendiceal abscess pelvic endometriosis pelvic hematoma pelvic hemorrhagic cysts hydrosalpinx ectopic pregnancy 16 inflammatory[]

  • Periurethral Abscess

    , metastatic renal infection pyonephrosis, perinephric abscess, retroperitoneal abscess, and other infections.[] A 48-year-old gentleman, with history of diabetes mellitus, presented to the emergency department with high grade fever, lower urinary tract symptoms and perineal pain for[] Fig. 27.1 Pelvic CT imaging demonstrates a large periurethral hematoma in a patient on warfarin presenting for pelvic pain and acute urinary retention following transurethral[]

  • Sciatica

    […] structures, urogenital system, aorta, or hip Infection • Discitis • Osteomyelitis • Paraspinal abscess Inflammatory • Spondyloarthropathies • Sacroilitis or sacroiliac dysfunction[] The symptoms suggestive of intrapelvic nerve entrapment are: perineal pain or pain irradiating to the lower limbs in the absence of a spinal disorder, and lower urinary tract[] Spine MRI and pelvic CT angiography revealed a giant internal iliac artery pseudoaneurysm, enclosed in a chronic hematoma.[]

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