1. Retroperitoneal Collections; Causes , Diagnosis and Management Dr Maha Khalid AL Madi Urology Resident KFHU – Khobar – Saudi Arabia 2010

3. Retroperitoneal Anatomy

8. Interfascial Planes

16. Interfascial Plane Extensions

20. Retroperitoneal collections & their extensions

27. Retroperitoneal Hematomas

28. Causes factor IX ,X deficiency, von Willebrand APL syndrome anticoagulation* *0.6-6.6% of patients undergoing therapeutic anticoagulation. Management of Spontaneous and Iatrogenic Retroperitoneal Haemorrhage: nt J Clin Pract. 2008; Injury ( to bony structures, major vessels, intestinal or retroperitoneal viscera) Iatrogenic

35. Approach to RPH

37. Approach to RPH ZONE 1 ZONE 2 ZONE 3

39. zone I (central) retroperitoneal hematoma with active extravasation from ruptured AAA

41. Large zone II (lateral) retroperitoneal hematoma From renal injury

56. Thank You