Diagnostic and therapeutic dilemmas in nontraumatic spontaneous perirenal hemorrhage.
We report on 8 patients who presented with acute abdominal pain, palpable mass and a rapid decrease in hemoglobin. Intravenous pyelogram, ultrasound and computed tomography had been performed but the underlying cause of the perirenal hematoma couldn't be detected. Surgical exploration was decided and 6 total and 2 partial nephrectomies were performed. The pathological report revealed 4 adenocarcinomas and 4 angiomyolipomas. The possibility of spontaneous rupture of the kidney in the evaluation of cases of acute abdomen is particularly stressed.
Thanos
A
A
Department of Urology, General Hospital of Athens, Greece.
Liakatas
J L
JL
Sotiriou
V
V
Aristas
O
O
Davillas
N
N
D000006:Abdomen, Acute / Q000209:etiology*; D002292:Carcinoma, Renal Cell / Q000150:complications; D005260:Female; D006391:Hemangioma / Q000150:complications; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007680:Kidney Neoplasms / Q000150:complications*; D008067:Lipoma / Q000150:complications; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed