Retroperitoneal edema: sonographic mimic of retroperitoneal fluid collection

Wachsberg, Ronald H.; Singh-Panghaal, Sunita

doi:10.1007/s002619900296

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Ultrasound is a useful tool for early detection of fluid extravasation. This is also true if retroperitoneal volume shifts are in focus of the exam provided that the investigator has the expertise [6-8]. …”

Section: Discussionmentioning

confidence: 99%

Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report

Richter

Huebler

2014

BMC Anesthesiol

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BackgroundIn 1996, Holmium laser enucleation of the prostate was introduced and has been shown to be safe and highly effective.Case presentationWe report a case of a rare complication that resulted in intra-abdominal compartment syndrome with prolonged intubation and intensive care, involving an 74-year-old male after holmium laser enucleation of prostate, with a massive irrigant fluid leakage into the retroperitoneal space. The elevated abdominal pressure was reduced by forced diuresis. The tracheal tube was removed 18 hours after the patient’s transfer to the ICU. The patient was discharged to home one week after the operation.ConclusionIn rare cases when no obvious ruptures of the prostate capsule or the bladder occur during laser enucleation of prostate, knowledge regarding possible emersion of massive amounts of irrigant fluid into the retroperitoneal space leading to intra-abdominal compartment syndrome aids in the diagnosis and subsequent successful therapy of intra-abdominal hypertension.

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Section: Discussionmentioning

confidence: 99%

Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report

Richter

Huebler

2014

BMC Anesthesiol

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CT and MRI of Retroperitoneal Edema Associated With Large Uterine Leiomyomas

Smith

Coakley

Jackson

et al. 2002

Journal of Computer Assisted Tomography

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Two cases of retroperitoneal edema surrounding the left ovarian vein that were associated with large uterine leiomyoma are presented. This finding was not associated with any specific lateralizing symptoms or with any evidence of malignancy. One patient underwent hysterectomy with surgical exploration of the retroperitoneum that confirmed the absence of malignancy. The CT and MR findings in this entity are described and possible etiological mechanisms discussed. Recognition that large leiomyoma can be associated with benign retroperitoneal edema may help avoid inappropriate management.

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Retroperitoneal edema: sonographic mimic of retroperitoneal fluid collection

Abstract: Anechoic regions that represent edema can be seen on sonograms of the retroperitoneum in patients with conditions that cause edema in other regions. The possibility of edema mimicking a fluid collection should be particularly considered prior to invasive procedures in the retroperitoneum.

Cited by 2 publications

References 7 publications

Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report

Acute abdominal compartment syndrome as a complication of Holmium laser enucleation of the prostate: a case report

CT and MRI of Retroperitoneal Edema Associated With Large Uterine Leiomyomas

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