title: [Spontaneous kidney parenchymal rupture--etiology, symptoms, diagnosis and therapy].
abstract: Spontaneous rupture of the renal parenchyma with perirenal hematoma occurs rarely. A review was made of 85 cases published in the literature, including 2 of our own. Tumors were the most common cause followed by vascular diseases of the kidney. The most common symptoms were an acute onset of flank or abdominal pain (65%), microscopic or macroscopic hematuria (43%) and signs of hemorrhagic shock (33%). In all cases a tender flank and/or mass were palpable. Urography reveals a mass, distorted collecting system and/or non-visualization of the kidney. Nephrectomy when possible should be performed expeditiously since conservative therapy is uniformly unsuccessful and life-threatening.
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000209:etiology; D009392:Nephrectomy; D012422:Rupture, Spontaneous; D014567:Urography
vernacular_title: Die spontane Nierenparenchymruptur--Atiologie, Symptomatik, Diagnostik und Therapie.