1976
DOI: 10.1016/s0022-5347(17)58821-7
|View full text |Cite
|
Sign up to set email alerts
|

A Renal Cause for Massive Retroperitoneal Hemorrhage—renal Angiomyolipoma

Abstract: In any case of intra-abdominal trauma or hemorrhage a preoperative IVP is essential to determine the renal status. Preoperative catheter occlusion of the renal artery in these vascular tumors may be attempted to decrease blood loss. Stigmas of tuberous sclerosis should be sought in patients with vascular renal tumors, especially if they are bilateral. Conservation of renal tissue in tuberous sclerotic patients harboring renal angiomyolipomas is important.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
5
0
1

Year Published

1980
1980
1991
1991

Publication Types

Select...
6
1

Relationship

0
7

Authors

Journals

citations
Cited by 22 publications
(7 citation statements)
references
References 5 publications
0
5
0
1
Order By: Relevance
“…Symptoms of urinary tract infection and hypertension occur less commonly [Barrilero, 1977]. As illustrated in our case, angiomyoli poma may also present as an emergency because of spon taneous rupture of the tumour and massive retroperito neal haemorrhage in a patient previously free of urologic symptoms [McDougal et al, 1975;Beh et al, 1976;Hoel and Tollefsen, 1976].…”
Section: Discussionmentioning
confidence: 72%
See 1 more Smart Citation
“…Symptoms of urinary tract infection and hypertension occur less commonly [Barrilero, 1977]. As illustrated in our case, angiomyoli poma may also present as an emergency because of spon taneous rupture of the tumour and massive retroperito neal haemorrhage in a patient previously free of urologic symptoms [McDougal et al, 1975;Beh et al, 1976;Hoel and Tollefsen, 1976].…”
Section: Discussionmentioning
confidence: 72%
“…In these cases, a nephrec tomy should be done immediately assuming that the kid ney on the opposite side is normal [McDougal et al, 1975;Beh et al, 1976]. In our case, this ought to have been demonstrated by performing an intravenous uro gram per-operatively.…”
Section: Discussionmentioning
confidence: 86%
“…In our patient the peripheral location of the tumor, eroding through the renal capsule, is the most likely explanation and this fact has been demonstrated in other cases [14,15], Symptoms of SPH are usually due to hemorrhage into or from a tumor, the most frequent presenting features being loin or abdomi nal pain, a tender flank mass and signs of hemorrhagic shock (Lenk's triad) [7]; macro-or microscopic hematuria is often present. As in our case, spontaneous rupture of the tumor may also present itself as an emergency because of massive retroperitoneal hemorrhage in a patient previously free of urologie symptoms [1,4]. Out of the 78 cases of SPH reviewed by McDougall et al [1], only 25 (32.5%) presented themselves as an acute abdomen.…”
Section: Discussionmentioning
confidence: 47%
“…In these cases, a nephrectomy should be performed immediately assuming that the controlatéral kidney is normal [1,4,7], The high incidence of renal carcinoma among cases of sponta neous rupture of the kidney dictates the need for a careful intraoper ative inspection of the kidney. According to McDougall et al [1] and Novicki et al [21], nephrectomy seems to provide the best chance for recovery in these patients.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation