Image Based Question – 74317

Which of the regions marked in the following picture represents the zone 3 of retroperitoneal hemorrhage?

A. major vascular injury

B. Renal trauma

C. Pelvic fracture

D. colonic injury

Correct Answer » C Explanation

Ans: C. Pelvic fracture

(Ref. Bailey 27/e p964-965, 25/e p339-340, Oxford Textbook of Vascular Surgery/ p202; Trauma 7/e p623).

• Classification of traumatic retroperitoneal hemorrhage
  Zone 1: Central
• Pancreaticoduodenal injuries, major vascular injury
  Zone 2: Flank/Perinephric
• Renal trauma, ureteric or colonic injury
  Zone 3: Pelvic
• Pelvic fracture or ileofemoral vascular injury