Chronic Expansive Retroperitoneal Hematoma
Chronic Expansive Retroperitoneal Hematoma
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Author Info
Lorena Cambeiro Cabré Eulàlia Ballester Vázquez Mireia Solans Solerdelcoll Jose Ignacio Pérez García Montserrat Clos Enrríquez José Antonio González López
Corresponding Author
Lorena Cambeiro CabréGeneral Surgery, General Surgery Unit (Abdominal Wall, Endocrine, Breast and Mesenchymal Tumours), Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
A B S T R A C T
Chronic expansive retroperitoneal hematoma is a hematoma that grows progressively sometime after the original trauma. It can appear in different locations. The mechanism of onset is unclear, but experimental evidence favours an inflammatory cause. For diagnostic imaging, magnetic resonance imaging is more useful than computed tomography (CT). However, it is difficult to differentiate it from other soft tissue tumors, sarcomas, actinomycosis or inflammatory pseudotumors, due to the uneven central uptake. Histopathological analysis of the lesion usually shows a dense fibrous tissue capsule containing numerous old clots without finding clear atypia or signs suggestive of malignancy. The treatment of choice is complete resection of the lesion (including the capsule), as incomplete treatments (such as drainage or curettage of the hematoma contents) may cause recurrence.
Article Info
Article Type
Case ReportPublication history
Received: Tue 27, Apr 2021Accepted: Sat 08, May 2021
Published: Tue 25, May 2021
Copyright
© 2023 Lorena Cambeiro Cabré. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.DOI: 10.31487/j.SCR.2021.05.06