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Diagnostic and therapeutic dilemmas in nontraumatic spontaneous perirenal hemorrhage
A Thanos1, J L Liakatas, V Sotiriou
1Department of Urology, General Hospital of Athens, Greece.
European Urology
|January 1, 1991
Abstract:
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.