Swift D L, Lingeman J E, Baum W C
J Urol. 1980 Apr;123(4):577-82. doi: 10.1016/s0022-5347(17)56029-2.
Spontaneous retroperitoneal hemorrhage can present a difficult diagnostic dilemma. We present 4 illustrative cases within the last 2 years at our institutions. Excluding traumatic injury to the retroperitoneum and abdominal aortic aneurysms, about 75 per cent of the cases are related to neoplasms or vascular anomalies. An awareness of predisposing disease states is important. A high index of suspicion and an aggressive diagnostic approach are necessary. If evaluation does not disclose an etiology for retroperitoneal hemorrhage then non-operative management may be considered. This is especially true if an underlying systemic condition is present.
自发性腹膜后出血可能会带来诊断难题。我们展示了过去两年内在我们机构发生的4个典型病例。排除腹膜后创伤性损伤和腹主动脉瘤，约75%的病例与肿瘤或血管异常有关。了解易患疾病状态很重要。高度的怀疑指数和积极的诊断方法是必要的。如果评估未发现腹膜后出血的病因，则可考虑非手术治疗。如果存在潜在的全身状况，情况尤其如此。
