Retroperitoneal hemorrhage (flank bleeding)

About Retroperitoneal hemorrhage (flank bleeding)

Bleeding in the muscle and tissues behind the abdominal wall cavity. The bleeding can occur spontaneously in patients with a bleeding disorder (cirrhosis, hemophilia), in those taking anticoagulants (warfarin, aspirin, clopidogrel), after a medical procedure, or after trauma. At times it occurs spontaneously and no reason is discovered. The bleeding can be severe and result in death.

Symptoms

Back pain, flank pain, blue-purple discoloration of the back, weak pulse, dizzy with standing, weakness, fainting, coma.

Tests & Diagnostics

A history and physical exam will be performed. Blood and imaging tests will be done to establish the diagnosis and the extent of the disease.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, EKG, MRI, X-ray.

Conventional treatment summary

Reversing any blood clotting abnormalities and transfusing blood are the primary treatment options. Angiography and clotting off the bleeding vessel is sometimes performed. Surgery is rarely needed.

Medical specialties

General Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Retroperitoneal hemorrhage (flank bleeding).