Non-traumatic spontaneous retroperitoneal bleeding: treated by interventional radiology

Abstract

Spontaneous retroperitoneal hemorrhage is defined as bleeding into the retroperitoneal space. It is a rare condition classified into traumatic and non-traumatic categories. The underlying causes are multifactorial. Hemorrhage from the lumbar arteries is generally the result of high-speed trauma or spinal instrumentation. Clinical manifestations vary primarily depending on the amount of bleeding. Computed tomography (CT) is the diagnostic modality of choice, helping to identify the presence, location, and guide therapy. Treatment options include conservative management, embolization, and/or surgery. A case is reported here that was diagnosed and treated by interventional radiology at general hospital Dr. Manuel Gea González. A GE revolution 64-slice abdominal CT with intravenous contrast (Ultravist 350) was performed, followed by endovascular treatment with microparticles (300-500 μm). This is a rare etiology documented in the literature. A case is reported here that was diagnosed and treated by interventional radiology at general hospital Dr. Manuel Gea González. A GE revolution 64-slice abdominal CT with intravenous contrast (Ultravist 350) was performed, followed by endovascular treatment with microparticles (300-500 μm). This is a rare etiology documented in the literature. It is a rare condition with high morbidity and mortality rates. First-line treatment is through interventional radiology.