Correct the Coagulopathy and Scoop It Out: Complete Reversal of Anuric Renal Failure through the Operative Decompression of Extraperitoneal Hematoma-Induced Abdominal Compartment Syndrome
Table 1
Diagnostic classification of retroperitoneal hematoma.
Zone
Description
Management
Zone I—midline retroperitoneum
Extends from the aortic hiatus to the sacral promontory and is divided into supramesocolic and inframesocolic zones
All injuries require surgical exploration
Zone II—lateral retroperitoneum
Extends on either side from the renal hila to the pericolic gutters Avoid exploration in blunt trauma
Explore all penetrating trauma
Zone III—pelvic retroperitoneum
Sacral promontory and encompasses the pelvis Explore all penetrating trauma
Explore for expanding hematoma in penetrating trauma