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. 1990 Feb;211(2):109–123. doi: 10.1097/00000658-199002000-00001

Management of traumatic retroperitoneal hematoma.

D V Feliciano 1
PMCID: PMC1357953  PMID: 2405790

Abstract

The management of retroperitoneal hematomas remains confusing to many surgeons because the available literature frequently groups patients with blunt and penetrating etiologies together. Because the underlying injuries and their treatment may differ considerably, the nonoperative or operative approach to the common hematomas is based on mechanism of injury coupled with hemodynamic status of the patient and extent of associated injuries. 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 operation. Midline, lateral paraduodenal, lateral pericolonic not associated with pelvic, and portal hematomas are opened after proximal vascular control has been obtained, if appropriate. Retrohepatic hematomas without obvious active hemorrhage are not opened. After penetrating trauma, most retroperitoneal hematomas are still opened. Exceptions include isolated lateral perirenal hematomas that have been carefully staged by CT and some lateral pericolonic hematomas. As with blunt trauma, retrohepatic hematomas without obvious active hemorrhage are not opened.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Accola K. D., Feliciano D. V., Mattox K. L., Bitondo C. G., Burch J. M., Beall A. C., Jr, Jordan G. L., Jr Management of injuries to the suprarenal aorta. Am J Surg. 1987 Dec;154(6):613–618. doi: 10.1016/0002-9610(87)90227-3. [DOI] [PubMed] [Google Scholar]
  2. Accola K. D., Feliciano D. V., Mattox K. L., Bitondo C. G., Burch J. M., Beall A. C., Jr, Jordan G. L., Jr Management of injuries to the suprarenal aorta. Am J Surg. 1987 Dec;154(6):613–618. doi: 10.1016/0002-9610(87)90227-3. [DOI] [PubMed] [Google Scholar]
  3. Accola K. D., Feliciano D. V., Mattox K. L., Burch J. M., Beall A. C., Jr, Jordan G. L., Jr Management of injuries to the superior mesenteric artery. J Trauma. 1986 Apr;26(4):313–319. doi: 10.1097/00005373-198604000-00002. [DOI] [PubMed] [Google Scholar]
  4. Allen R. E., Eastman B. A., Halter B. L., Conolly W. B. Retroperitoneal hemorrhage secondary to blunt trauma. Am J Surg. 1969 Oct;118(4):558–561. doi: 10.1016/0002-9610(69)90183-4. [DOI] [PubMed] [Google Scholar]
  5. BAYLIS S. M., LANSING E. H., GLAS W. W. Traumatic retroperitoneal hematoma. Am J Surg. 1962 Apr;103:477–480. doi: 10.1016/0002-9610(62)90156-3. [DOI] [PubMed] [Google Scholar]
  6. Batalden D. J., Wichstrom P. H., Ruiz E., Gustilo R. B. Value of the G suit in patients with severe pelvic fracture. Controlling hemorrhagic shock. Arch Surg. 1974 Aug;109(2):326–328. doi: 10.1001/archsurg.1974.01360020186036. [DOI] [PubMed] [Google Scholar]
  7. Ben-Menachem Y., Handel S. F., Thaggard A., 3rd, Carnovale R. L., Katragadda C., Glass T. F. Therapeutic arterial embolization in trauma. J Trauma. 1979 Dec;19(12):944–952. doi: 10.1097/00005373-197912000-00002. [DOI] [PubMed] [Google Scholar]
  8. Berne C. J., Donovan A. J., White E. J., Yellin A. E. Duodenal "diverticulization" for duodenal and pancreatic injury. Am J Surg. 1974 May;127(5):503–507. doi: 10.1016/0002-9610(74)90305-5. [DOI] [PubMed] [Google Scholar]
  9. Bozymski E. M., Orlando R. C., Holt J. W., 3rd Traumatic disruption of the pancreatic duct demonstrated by endoscopic retrograde pancreatography. J Trauma. 1981 Mar;21(3):244–245. doi: 10.1097/00005373-198103000-00010. [DOI] [PubMed] [Google Scholar]
  10. Brotman S., Soderstrom C. A., Oster-Granite M., Cisternino S., Browner B., Cowley R. A. Management of severe bleeding in fractures of the pelvis. Surg Gynecol Obstet. 1981 Dec;153(6):823–826. [PubMed] [Google Scholar]
  11. Brown J. J., Greene F. L., McMillin R. D. Vascular injuries associated with pelvic fractures. Am Surg. 1984 Mar;50(3):150–154. [PubMed] [Google Scholar]
  12. Burch J. M., Brock J. C., Gevirtzman L., Feliciano D. V., Mattox K. L., Jordan G. L., Jr, DeBakey M. E. The injured colon. Ann Surg. 1986 Jun;203(6):701–711. doi: 10.1097/00000658-198606000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Burch J. M., Feliciano D. V., Mattox K. L., Edelman M. Injuries of the inferior vena cava. Am J Surg. 1988 Dec;156(6):548–552. doi: 10.1016/s0002-9610(88)80550-6. [DOI] [PubMed] [Google Scholar]
  14. Burch J. M., Feliciano D. V., Mattox K. L. The atriocaval shunt. Facts and fiction. Ann Surg. 1988 May;207(5):555–568. doi: 10.1097/00000658-198805000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Busuttil R. W., Kitahama A., Cerise E., McFadden M., Lo R., Longmire W. P., Jr Management of blunt and penetrating injuries to the porta hepatis. Ann Surg. 1980 May;191(5):641–648. doi: 10.1097/00000658-198005000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Cass A. S., Bubrick M., Luxenberg M., Gleich P., Smith C. Renal trauma found during laparotomy for intra-abdominal injury. J Trauma. 1985 Oct;25(10):997–1000. doi: 10.1097/00005373-198510000-00013. [DOI] [PubMed] [Google Scholar]
  17. Cass A. S., Cass B. P. Immediate surgical management of severe renal injuries in multiple-injured patients. Urology. 1983 Feb;21(2):140–145. doi: 10.1016/0090-4295(83)90009-2. [DOI] [PubMed] [Google Scholar]
  18. Courcy P. A., Brotman S., Oster-Granite M. L., Soderstrom C. A., Siegel J. H., Cowley R. A. Superior mesenteric artery and vein injuries from blunt abdominal trauma. J Trauma. 1984 Sep;24(9):843–845. doi: 10.1097/00005373-198409000-00012. [DOI] [PubMed] [Google Scholar]
  19. Cryer H. M., Miller F. B., Evers B. M., Rouben L. R., Seligson D. L. Pelvic fracture classification: correlation with hemorrhage. J Trauma. 1988 Jul;28(7):973–980. [PubMed] [Google Scholar]
  20. Debakey M. E., Simeone F. A. Battle Injuries of the Arteries in World War II : An Analysis of 2,471 Cases. Ann Surg. 1946 Apr;123(4):534–579. [PMC free article] [PubMed] [Google Scholar]
  21. Demetriades D., Rabinowitz B., Sofianos C., Charalambides D., Melissas J., Hatzitheofilou C., Da Silva J. The management of penetrating injuries of the back. A prospective study of 230 patients. Ann Surg. 1988 Jan;207(1):72–74. doi: 10.1097/00000658-198801000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Dove A. F., Poon W. S., Weston P. A. Haemorrhage from pelvic fractures: dangers and treatment. Injury. 1982 Mar;13(5):375–381. doi: 10.1016/0020-1383(82)90088-2. [DOI] [PubMed] [Google Scholar]
  23. Dunn E. L., Berry P. H., Connally J. D. Computed tomography of the pelvis in patients with multiple injuries. J Trauma. 1983 May;23(5):378–383. doi: 10.1097/00005373-198305000-00004. [DOI] [PubMed] [Google Scholar]
  24. Evers B. M., Cryer H. M., Miller F. B. Pelvic fracture hemorrhage. Priorities in management. Arch Surg. 1989 Apr;124(4):422–424. doi: 10.1001/archsurg.1989.01410040032006. [DOI] [PubMed] [Google Scholar]
  25. Feliciano D. V. Abdominal vascular injuries. Surg Clin North Am. 1988 Aug;68(4):741–755. doi: 10.1016/s0039-6109(16)44583-4. [DOI] [PubMed] [Google Scholar]
  26. Feliciano D. V. Approach to major abdominal vascular injury. J Vasc Surg. 1988 May;7(5):730–736. [PubMed] [Google Scholar]
  27. Feliciano D. V., Bitondo C. G., Burch J. M., Mattox K. L., Beall A. C., Jr, Jordan G. L., Jr Management of traumatic injuries to the extrahepatic biliary ducts. Am J Surg. 1985 Dec;150(6):705–709. doi: 10.1016/0002-9610(85)90413-1. [DOI] [PubMed] [Google Scholar]
  28. Feliciano D. V., Bitondo C. G., Mattox K. L., Burch J. M., Jordan G. L., Jr, Beall A. C., Jr, De Bakey M. E. Civilian trauma in the 1980s. A 1-year experience with 456 vascular and cardiac injuries. Ann Surg. 1984 Jun;199(6):717–724. doi: 10.1097/00000658-198406000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Feliciano D. V., Bitondo C. G., Steed G., Mattox K. L., Burch J. M., Jordan G. L., Jr Five hundred open taps or lavages in patients with abdominal stab wounds. Am J Surg. 1984 Dec;148(6):772–777. doi: 10.1016/0002-9610(84)90435-5. [DOI] [PubMed] [Google Scholar]
  30. Feliciano D. V., Burch J. M., Spjut-Patrinely V., Mattox K. L., Jordan G. L., Jr Abdominal gunshot wounds. An urban trauma center's experience with 300 consecutive patients. Ann Surg. 1988 Sep;208(3):362–370. doi: 10.1097/00000658-198809000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Feliciano D. V., Cruse P. A., Spjut-Patrinely V., Burch J. M., Mattox K. L. Fasciotomy after trauma to the extremities. Am J Surg. 1988 Dec;156(6):533–536. doi: 10.1016/s0002-9610(88)80547-6. [DOI] [PubMed] [Google Scholar]
  32. Feliciano D. V., Martin T. D., Cruse P. A., Graham J. M., Burch J. M., Mattox K. L., Bitondo C. G., Jordan G. L., Jr Management of combined pancreatoduodenal injuries. Ann Surg. 1987 Jun;205(6):673–680. doi: 10.1097/00000658-198706000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Feliciano D. V., Mattox K. L., Burch J. M., Bitondo C. G., Jordan G. L., Jr Packing for control of hepatic hemorrhage. J Trauma. 1986 Aug;26(8):738–743. doi: 10.1097/00005373-198608000-00010. [DOI] [PubMed] [Google Scholar]
  34. Feliciano D. V., Pachter H. L. Hepatic trauma revisited. Curr Probl Surg. 1989 Jul;26(7):453–524. doi: 10.1016/0011-3840(89)90014-2. [DOI] [PubMed] [Google Scholar]
  35. Fleming W. H., Bowen J. C., 3rd Control of hemorrhage in pelvic crush injuries. J Trauma. 1973 Jun;13(6):567–570. doi: 10.1097/00005373-197306000-00013. [DOI] [PubMed] [Google Scholar]
  36. Flint L. M., Jr, Brown A., Richardson J. D., Polk H. C. Definitive control of bleeding from severe pelvic fractures. Ann Surg. 1979 Jun;189(6):709–716. doi: 10.1097/00000658-197906000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Gilliland M. G., Ward R. E., Flynn T. C., Miller P. W., Ben-Menachem Y., Duke J. H., Jr Peritoneal lavage and angiography in the management of patients with pelvic fractures. Am J Surg. 1982 Dec;144(6):744–747. doi: 10.1016/0002-9610(82)90562-1. [DOI] [PubMed] [Google Scholar]
  38. Gougeon F. W., Legros G., Archambault A., Bessette G., Bastien E. Pancreatic trauma: a new diagnostic approach. Am J Surg. 1976 Sep;132(3):400–402. doi: 10.1016/0002-9610(76)90404-9. [DOI] [PubMed] [Google Scholar]
  39. Graham J. M., Mattox K. L., Beall A. C., Jr Portal venous system injuries. J Trauma. 1978 Jun;18(6):419–422. doi: 10.1097/00005373-197806000-00006. [DOI] [PubMed] [Google Scholar]
  40. Grieco J. G., Perry J. F., Jr Retroperitoneal hematoma following trauma: its clinical importance. J Trauma. 1980 Sep;20(9):733–736. doi: 10.1097/00005373-198009000-00004. [DOI] [PubMed] [Google Scholar]
  41. Griffen W. O., Jr, Belin R. P., Ernst C. B., Sachatello C. R., Daugherty M. E., Mulcahy J. J., Chuang V. A., Maull K. I. Intravenous pyelography in abdominal trauma. J Trauma. 1978 Jun;18(6):387–392. doi: 10.1097/00005373-197806000-00002. [DOI] [PubMed] [Google Scholar]
  42. Gylling S. F., Ward R. E., Holcroft J. W., Bray T. J., Chapman M. W. Immediate external fixation of unstable pelvic fractures. Am J Surg. 1985 Dec;150(6):721–724. doi: 10.1016/0002-9610(85)90416-7. [DOI] [PubMed] [Google Scholar]
  43. HAUSER C. W., PERRY J. F., Jr CONTROL OF MASSIVE HEMORRHAGE FROM PELVIC FRACTURES BY HYPOGASTRIC ARTERY LIGATION. Surg Gynecol Obstet. 1965 Aug;121:313–315. [PubMed] [Google Scholar]
  44. Hawkins L., Pomerantz M., Eiseman B. Laparotomy at the time of pelvic fracture. J Trauma. 1970 Aug;10(8):619–623. doi: 10.1097/00005373-197008000-00001. [DOI] [PubMed] [Google Scholar]
  45. Henao F., Aldrete J. S. Retroperitoneal hematomas of traumatic origin. Surg Gynecol Obstet. 1985 Aug;161(2):106–116. [PubMed] [Google Scholar]
  46. Holcroft J. W., Trunkey D. D., Minagi H., Korobkin M. T., Lim R. C. Renal trauma and retroperitoneal hematomas-indications for exploration. J Trauma. 1975 Dec;15(12):1045–1052. [PubMed] [Google Scholar]
  47. Hubbard S. G., Bivins B. A., Sachatello C. R., Griffen W. O., Jr Diagnostic errors with peritoneal lavage in patients with pelvic fractures. Arch Surg. 1979 Jul;114(7):844–846. doi: 10.1001/archsurg.1979.01370310086015. [DOI] [PubMed] [Google Scholar]
  48. Huittinen V. M., Slätis P. Postmortem angiography and dissection of the hypogastric artery in pelvic fractures. Surgery. 1973 Mar;73(3):454–462. [PubMed] [Google Scholar]
  49. Ivatury R. R., Nallathambi M., Gaudino J., Rohman M., Stahl W. M. Penetrating duodenal injuries. Analysis of 100 consecutive cases. Ann Surg. 1985 Aug;202(2):153–158. doi: 10.1097/00000658-198508000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Ivatury R. R., Nallathambi M., Lankin D. H., Wapnir I., Rohman M., Stahl W. M. Portal vein injuries. Noninvasive follow-up of venorrhaphy. Ann Surg. 1987 Dec;206(6):733–737. doi: 10.1097/00000658-198712000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Jeffrey R. B., Jr, Federle M. P., Crass R. A. Computed tomography of pancreatic trauma. Radiology. 1983 May;147(2):491–494. doi: 10.1148/radiology.147.2.6836127. [DOI] [PubMed] [Google Scholar]
  52. KILLEN D. A. INJURY OF THE SUPERIOR MESENTERIC VESSELS SECONDARY TO NONPENETRATING ABDOMINAL TRAUMA. Am Surg. 1964 May;30:306–312. [PubMed] [Google Scholar]
  53. Kearney P. A., Jr, Vahey T., Burney R. E., Glazer G. Computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma. Their combined role. Arch Surg. 1989 Mar;124(3):344–347. doi: 10.1001/archsurg.1989.01410030094015. [DOI] [PubMed] [Google Scholar]
  54. Klein S., Johs S., Fujitani R., State D. Hematuria following blunt abdominal trauma. The utility of intravenous pyelography. Arch Surg. 1988 Sep;123(9):1173–1177. doi: 10.1001/archsurg.1988.01400330153024. [DOI] [PubMed] [Google Scholar]
  55. Lassonde J., Laurendeau F. Blunt injury of the abdominal aorta. Ann Surg. 1981 Dec;194(6):745–748. doi: 10.1097/00000658-198112000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  56. Maggio A. J., Jr, Brosman S. Renal artery trauma. Urology. 1978 Feb;11(2):125–130. doi: 10.1016/0090-4295(78)90089-4. [DOI] [PubMed] [Google Scholar]
  57. Maier W. P., Lightfoot W. P., Rosemond G. P. Extrahepatic biliary ductal injury in closed trauma. Am J Surg. 1968 Jul;116(1):103–108. doi: 10.1016/0002-9610(68)90427-3. [DOI] [PubMed] [Google Scholar]
  58. Margolies M. N., Ring E. J., Waltman A. C., Kerr W. S., Jr, Baum S. Arteriography in the management of hemorrhage from pelvic fractures. N Engl J Med. 1972 Aug 17;287(7):317–321. doi: 10.1056/NEJM197208172870701. [DOI] [PubMed] [Google Scholar]
  59. Martin T. D., Feliciano D. V., Mattox K. L., Jordan G. L., Jr Severe duodenal injuries. Treatment with pyloric exclusion and gastrojejunostomy. Arch Surg. 1983 May;118(5):631–635. doi: 10.1001/archsurg.1983.01390050097019. [DOI] [PubMed] [Google Scholar]
  60. Matsubara J., Seko T., Ohta T., Shionoya S., Ban I. Traumatic aneurysm of the abdominal aorta with acute thrombosis of bilateral iliac arteries. Arch Surg. 1983 Nov;118(11):1337–1339. doi: 10.1001/archsurg.1983.01390110083018. [DOI] [PubMed] [Google Scholar]
  61. Maull K. I., Sachatello C. R., Ernst C. B. The deep perineal laceration-an injury frequently associated with open pelvic fractures: a need for aggressive surgical management. A report of 12 cases and review of the literature. J Trauma. 1977 Sep;17(9):685–696. [PubMed] [Google Scholar]
  62. McAninch J. W., Carroll P. R. Renal trauma: kidney preservation through improved vascular control-a refined approach. J Trauma. 1982 Apr;22(4):285–290. [PubMed] [Google Scholar]
  63. McAninch J. W., Federle M. P. Evaluation of renal injuries with computerized tomography. J Urol. 1982 Sep;128(3):456–460. doi: 10.1016/s0022-5347(17)52995-x. [DOI] [PubMed] [Google Scholar]
  64. McAninch J. W. Traumatic injuries to the urethra. J Trauma. 1981 Apr;21(4):291–297. doi: 10.1097/00005373-198104000-00006. [DOI] [PubMed] [Google Scholar]
  65. Mears D. C., Fu F. H. Modern concepts of external skeletal fixation of the pelvis. Clin Orthop Relat Res. 1980 Sep;(151):65–72. [PubMed] [Google Scholar]
  66. Mogensen P., Agger P., Ostergaard A. H. A conservative approach to the management of blunt renal trauma. Results of a follow-up study. Br J Urol. 1980 Oct;52(5):338–341. doi: 10.1111/j.1464-410x.1980.tb03055.x. [DOI] [PubMed] [Google Scholar]
  67. Moreno C., Moore E. E., Rosenberger A., Cleveland H. C. Hemorrhage associated with major pelvic fracture: a multispecialty challenge. J Trauma. 1986 Nov;26(11):987–994. doi: 10.1097/00005373-198611000-00005. [DOI] [PubMed] [Google Scholar]
  68. Motsay G. J., Manlove C., Perry J. F. Major venous injury with pelvic fracture. J Trauma. 1969 Apr;9(4):343–346. doi: 10.1097/00005373-196904000-00007. [DOI] [PubMed] [Google Scholar]
  69. Mucha P., Jr, Farnell M. B. Analysis of pelvic fracture management. J Trauma. 1984 May;24(5):379–386. doi: 10.1097/00005373-198405000-00002. [DOI] [PubMed] [Google Scholar]
  70. Murr P. C., Moore E. E., Lipscomb R., Johnston R. M. Abdominal trauma associated with pelvic fracture. J Trauma. 1980 Nov;20(11):919–923. doi: 10.1097/00005373-198011000-00001. [DOI] [PubMed] [Google Scholar]
  71. Olsen W. R. The serum amylase in blunt abdominal trauma. J Trauma. 1973 Mar;13(3):200–204. doi: 10.1097/00005373-197303000-00003. [DOI] [PubMed] [Google Scholar]
  72. PELTIER L. F. COMPLICATIONS ASSOCIATED WITH FRACTURES OF THE PELVIS. J Bone Joint Surg Am. 1965 Jul;47:1060–1069. [PubMed] [Google Scholar]
  73. Pachter H. L., Drager S., Godfrey N., LeFleur R. Traumatic injuries of the portal vein. The role of acute ligation. Ann Surg. 1979 Apr;189(4):383–385. [PMC free article] [PubMed] [Google Scholar]
  74. Panetta T., Sclafani S. J., Goldstein A. S., Phillips T. F., Shaftan G. W. Percutaneous transcatheter embolization for massive bleeding from pelvic fractures. J Trauma. 1985 Nov;25(11):1021–1029. [PubMed] [Google Scholar]
  75. Paster S. B., Van Houten F. X., Adams D. F. Percutaneous balloon catheterization. A technique for the control of arterial hemorrhage caused by pelvic trauma. JAMA. 1974 Oct 28;230(4):573–575. doi: 10.1001/jama.230.4.573. [DOI] [PubMed] [Google Scholar]
  76. Peterson N. E. Intermediate-degree blunt renal trauma. J Trauma. 1977 Jun;17(6):425–435. doi: 10.1097/00005373-197706000-00003. [DOI] [PubMed] [Google Scholar]
  77. Pezzella A. T., Griffen W. O., Jr, Ernst C. B. Superior mesenteric artery injury following blunt abdominal trauma: case report with successful primary repair. J Trauma. 1978 Jun;18(6):472–474. [PubMed] [Google Scholar]
  78. Phillips T., Sclafani S. J., Goldstein A., Scalea T., Panetta T., Shaftan G. Use of the contrast-enhanced CT enema in the management of penetrating trauma to the flank and back. J Trauma. 1986 Jul;26(7):593–601. doi: 10.1097/00005373-198607000-00002. [DOI] [PubMed] [Google Scholar]
  79. Powell D. C., Bivins B. A., Bell R. M. Diagnostic peritoneal lavage. Surg Gynecol Obstet. 1982 Aug;155(2):257–264. [PubMed] [Google Scholar]
  80. RAVITCH M. M. HYPOGASTRIC ARTERY LIGATION IN ACUTE PELVIC TRAUMA. Surgery. 1964 Sep;56:601–602. [PubMed] [Google Scholar]
  81. Reynolds B. M., Balsano N. A. Venography in pelvic fractures: a clinical evaluation. Ann Surg. 1971 Jan;173(1):104–106. doi: 10.1097/00000658-197101000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  82. Richardson J. D., Harty J., Amin M., Flint L. M. Open pelvic fractures. J Trauma. 1982 Jul;22(7):533–538. doi: 10.1097/00005373-198207000-00002. [DOI] [PubMed] [Google Scholar]
  83. Ring E. J., Athanasoulis C., Waltman A. C., Margolies M. N., Baum S. Arteriographic management of hemorrhage following pelvic fracture. Radiology. 1973 Oct;109(1):65–70. doi: 10.1148/109.1.65. [DOI] [PubMed] [Google Scholar]
  84. Ring E. J., Waltman A. C., Athanasoulis C., Smith J. C., Jr, Baum S. Angiography in pelvic trauma. Surg Gynecol Obstet. 1974 Sep;139(3):375–380. [PubMed] [Google Scholar]
  85. Rodríguez-Morales G., Phillips T., Conn A. K., Cox E. F. Traumatic hemipelvectomy: report of two survivors and review. J Trauma. 1983 Jul;23(7):615–620. [PubMed] [Google Scholar]
  86. Rothenberger D. A., Fischer R. P., Perry J. F., Jr Major vascular injuries secondary to pelvic fractures: an unsolved clinical problem. Am J Surg. 1978 Dec;136(6):660–662. doi: 10.1016/0002-9610(78)90331-8. [DOI] [PubMed] [Google Scholar]
  87. Rothenberger D., Velasco R., Strate R., Fischer R. P., Perry J. F., Jr Open pelvic fracture: a lethal injury. J Trauma. 1978 Mar;18(3):184–187. [PubMed] [Google Scholar]
  88. Rovito P. F. Atrial caval shunting in blunt hepatic vascular injury. Ann Surg. 1987 Mar;205(3):318–321. doi: 10.1097/00000658-198703000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  89. SEAVERS R., LYNCH J., BALLARD R., JERNIGAN S., JOHNSON J. HYPOGASTRIC ARTERY LIGATION FOR UNCONTROLLABLE HEMORRHAGE IN ACUTE PELVIC TRAUMA. Surgery. 1964 Apr;55:516–519. [PubMed] [Google Scholar]
  90. Salam A. A., Stewart M. T. New approach to wounds of the aortic bifurcation and inferior vena cava. Surgery. 1985 Jul;98(1):105–108. [PubMed] [Google Scholar]
  91. Saueracker A. J., McCroskey B. L., Moore E. E., Moore F. A. Intraoperative hypogastric artery embolization for life-threatening pelvic hemorrhage: a preliminary report. J Trauma. 1987 Oct;27(10):1127–1129. doi: 10.1097/00005373-198710000-00006. [DOI] [PubMed] [Google Scholar]
  92. Selivanov V., Chi H. S., Alverdy J. C., Morris J. A., Jr, Sheldon G. F. Mortality in retroperitoneal hematoma. J Trauma. 1984 Dec;24(12):1022–1027. doi: 10.1097/00005373-198412000-00004. [DOI] [PubMed] [Google Scholar]
  93. Sheldon G. F., Winestock D. P. Hemorrhage from open pelvic fracture controlled intraoperatively with balloon catheter. J Trauma. 1978 Jan;18(1):68–70. doi: 10.1097/00005373-197801000-00015. [DOI] [PubMed] [Google Scholar]
  94. Shorr R. M., Gottlieb M. M., Webb K., Ishiguro L., Berne T. V. Selective management of abdominal stab wounds. Importance of the physical examination. Arch Surg. 1988 Sep;123(9):1141–1145. doi: 10.1001/archsurg.1988.01400330121018. [DOI] [PubMed] [Google Scholar]
  95. Smejkal R., Izant T., Born C., Delong W., Schwab W., Ross S. E. Pelvic crush injuries with occlusion of the iliac artery. J Trauma. 1988 Oct;28(10):1479–1482. doi: 10.1097/00005373-198810000-00014. [DOI] [PubMed] [Google Scholar]
  96. Spirnak J. P., Resnick M. I. Revascularization of traumatic thrombosis of the renal artery. Surg Gynecol Obstet. 1987 Jan;164(1):22–26. [PubMed] [Google Scholar]
  97. Steichen F. M., Dargan E. L., Pearlman D. M., Weil P. H. The management of retroperitoneal hematoma secondary to penetrating injuries. Surg Gynecol Obstet. 1966 Sep;123(3):581–591. [PubMed] [Google Scholar]
  98. Stone H. H., Fabian T. C. Management of duodenal wounds. J Trauma. 1979 May;19(5):334–339. doi: 10.1097/00005373-197905000-00006. [DOI] [PubMed] [Google Scholar]
  99. Stone H. H., Fabian T. C., Turkleson M. L. Wounds of the portal venous system. World J Surg. 1982 May;6(3):335–341. doi: 10.1007/BF01653551. [DOI] [PubMed] [Google Scholar]
  100. Taxier M., Sivak M. V., Jr, Cooperman A. M., Sullivan B. H., Jr Endoscopic retrograde pancreatography in the evaluation of trauma to the pancreas. Surg Gynecol Obstet. 1980 Jan;150(1):65–68. [PubMed] [Google Scholar]
  101. Trunkey D. D., Chapman M. W., Lim R. C., Jr, Dunphy J. E. Management of pelvic fractures in blunt trauma injury. J Trauma. 1974 Nov;14(11):912–923. doi: 10.1097/00005373-197411000-00002. [DOI] [PubMed] [Google Scholar]
  102. ULVESTAD L. E. Repair of laceration of superior mesenteric artery acquired by non-penetrating injury to the abdomen. Ann Surg. 1954 Nov;140(5):752–754. doi: 10.1097/00000658-195411000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  103. Vaughan G. D., 3rd, Frazier O. H., Graham D. Y., Mattox K. L., Petmecky F. F., Jordan G. L., Jr The use of pyloric exclusion in the management of severe duodenal injuries. Am J Surg. 1977 Dec;134(6):785–790. doi: 10.1016/0002-9610(77)90325-7. [DOI] [PubMed] [Google Scholar]
  104. Veith F. J., Gupta S., Daly V. Technique for occluding the surpaceliac aorta through the abdomen. Surg Gynecol Obstet. 1980 Sep;151(3):426–428. [PubMed] [Google Scholar]
  105. Vermillion C. D., Mclaughlin A. P., 3rd, Pfister R. C. Management of blunt renal trauma. J Urol. 1971 Oct;106(4):478–484. doi: 10.1016/s0022-5347(17)61320-x. [DOI] [PubMed] [Google Scholar]
  106. Weil P. H. Management of retroperitoneal trauma. Curr Probl Surg. 1983 Sep;20(9):540–620. doi: 10.1016/s0011-3840(83)80009-4. [DOI] [PubMed] [Google Scholar]
  107. Yellin A. E., Lundell C. J., Finck E. J. Diagnosis and control of posttraumatic pelvic hemorrhage. Transcatheter angiographic embolization techniques. Arch Surg. 1983 Dec;118(12):1378–1383. doi: 10.1001/archsurg.1983.01390120008004. [DOI] [PubMed] [Google Scholar]
  108. Zollinger R. M., Jr, Keller R. T., Hubay C. A. Traumatic rupture of the right and left hepatic ducts. J Trauma. 1972 Jul;12(7):563–569. doi: 10.1097/00005373-197207000-00003. [DOI] [PubMed] [Google Scholar]

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