Acute retroperitoneal hemorrhage complicating a xanthogranulomatous pyelonephritis

Nephron-sparing management of Xanthogranulomatous pyelonephritis presenting as spontaneous renal hemorrhage: a case report and literature review

“…CT scan now showed an interval increase in the size of the renal mass and hemoperitoneum. After right nephrectomy pathological examination of the mass revealed abundant foamy macrophage aggregates, neutrophils, fibrosis, and inflammatory cell infiltrations, confirming the diagnosis of XGP [ 15 ].…”

“…Three of 4 XGP cases presenting with Wunderlich syndrome are summarised and can be reviewed in Table 1 . Canale et al, in a letter to the editor, presents a case of retroperitoneal hemorrhage with hemorrhagic shock [ 15 ]. Briefly, a 36 year old woman presented with right lower abdominal pain with palpable mass over right pelvic area.…”

An Unusual Presentation of Chronic Granulomatous Pyelonephritis Presenting as an Acute Spontaneous Retroperitoneal Hemorrhage

“…Chronic pyelonephritis presenting as retroperitoneal hemorrhage is a very rare complication and to the best of our knowledge there is only one reported case of acute retroperitoneal hemorrhage complicating a Xanthogranulomatous pyelonephritis [1]. We here present an atypical case of Xanthogranulomatous pyelonephritis presenting with acute retroperitoneal haemorrhage ending up with nephrectomy.…”