title: Laparoscopic management of spontaneous retroperitoneal hemorrhage.
abstract: Wünderlich's syndrome is a spontaneous nontraumatic massive retroperitoneal hemorrhage. It is usually secondary to a renal neoplasm, with angiomyolipoma being the most frequent followed by renal cell carcinoma. The management of spontaneous retroperitoneal bleeding varies depending on the hemodynamic status of the patient. We present the first report of a transperitoneal laparoscopic nephrectomy in a patient with spontaneous retroperitoneal active bleeding secondary to a right renal mass.
authors.affiliation: Department of Urology, Fundació Puigvert, Barcelona, Spain. japena @ fundacio-puigvert.es
authors.forename: Juan A
authors.initials: JA
authors.lastname: Peña
authors.forename: Miriam
authors.initials: M
authors.lastname: Serrano
authors.forename: Marco
authors.initials: M
authors.lastname: Cosentino
authors.forename: Antonio
authors.initials: A
authors.lastname: Rosales
authors.forename: Ferran
authors.initials: F
authors.lastname: Algaba
authors.forename: Juan
authors.initials: J
authors.lastname: Palou
authors.forename: Humberto
authors.initials: H
authors.lastname: Villavicencio
mesh_terms: D018207:Angiomyolipoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D012187:Retroperitoneal Space; D016896:Treatment Outcome