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Spontaneous retroperitoneal hemorrhage from a ruptured hypernephroma

✍ Scribed by R. Trivedi; M. Levy; I. Ibrahim; A. Bonacarti

Publisher
John Wiley and Sons
Year
1979
Tongue
English
Weight
285 KB
Volume
11
Category
Article
ISSN
0022-4790

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✦ Synopsis

Abstract

The clinical presentation and roentgenographic findings of renal cell carcinoma have been consistently variable. These patients can appear with flank pain mimicking ureteral colic, flank tumors, or symptomatic metastasis [1]. Systemic cardiac manifestations including cardiomegaly with congestive heart failure due to arteriovenous fistula formation have been reported [2]. Roentgenographic findings may show the tumor to be either vascular or avascular. It may present as a spontaneous perforation of the pelvic ureteral system which is demonstrated by intravenous pyelography [3]. In this article, we describe a case of hypernephroma in a cyst wall causing severe spontaneous hemorrhage in the retroperitoneal space resulting in a state of hypovolemic shock.

πŸ“œ SIMILAR VOLUMES

Spontaneous retroperitoneal hemorrhage s
Spontaneous retroperitoneal hemorrhage secondary to a renal cause
✍ Joseph R. Drago; Jeffrey P. York; J. Edward Dagen; Thomas J. Rohner Jr. πŸ“‚ Article πŸ“… 1986 πŸ› John Wiley and Sons 🌐 English βš– 222 KB

Spontaneous rupture of normal renal parenchyma must indeed be rare. Virtually all patients in this paper had a significant abnormality that presented with bleeding. Our Case 5 is the only one without a clear underlying pathologic entity. We should stress the high incidence of associated disease in