Embolization of a bleeding aneurysm in a patient with spontaneous perirenal haematoma due to polyarteritis nodosa

Hidalgo, Jorge E.; Crego, M.; Montlleó, M.; Torre, P. de la; Bover, Jordi; Caparrós, J.; Villavicencio, H.

doi:10.4321/s0004-06142005000700019

Cited by 7 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Currently, transcatheter selective renal artery embolization is typically performed instead of nephrectomy. With this therapy, favorable outcomes have been reported, regardless of embolic material, unilateral, or bilateral hematoma [6,[12][13][14][15]. The procedure-related mortality of selective embolization is 3.6% [16].…”

Section: Discussionmentioning

confidence: 99%

Polyarteritis nodosa with perirenal hematoma due to the rupture of a renal artery aneurysm

et al. 2020

View full text Add to dashboard Cite

We present the case of a 67-year-old man in good health with perirenal hematoma due to a ruptured arterial aneurysm in the kidney. The patient developed weight loss, muscle weakness, multiple mononeuropathy, hypertension, anemia, renal insufficiency, and multiple lacuna infarctions about a month ago. He was admitted to the hospital due to worsening of his symptom. After admission, severe right-flank pain suddenly occurred; he was then transferred to our hospital. Renal angiography revealed bilateral multiple microaneurysms, and the patient was diagnosed with polyarteritis nodosa based on the clinical, radiographic, and histological findings. We performed selective coil embolization to the ruptured aneurysm and administered oral prednisolone along with intravenous methylprednisolone pulse therapy. Cyclophosphamide pulse therapy was also given. The treatment improved clinical and laboratory findings and achieved clinical remission. Selective coil embolization to the bleeding aneurysm of polyarteritis nodosa was minimally invasive and promptly effective. Immunosuppressants proved useful in the regulation of disease activity and the aneurysm.

show abstract

Section: Discussionmentioning

confidence: 99%

Polyarteritis nodosa with perirenal hematoma due to the rupture of a renal artery aneurysm

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Renal tumors account for 58% to 79% of cases of non-traumatic retroperitoneal hemorrhage [1,2]. Other causes of this potentially life-threatening entity are anticoagulation therapy [3,4] and vascular disorders, including aneurysms associated with autoimmune diseases, mainly polyarteritis nodosa [5,6]. …”

Section: Discussionmentioning

confidence: 99%

Bilateral spontaneous retroperitoneal bleeding in a patient on nimesulide: a case report

et al. 2011

View full text Add to dashboard Cite

IntroductionSpontaneous retroperitoneal bleeding is a rare but potentially life-threatening event of varied etiology. Herein we report a case of bilateral non-traumatic retroperitoneal hemorrhage.Case presentationA 50-year-old Greek man, who was on a non-steroidal anti-inflammatory agent (nimesulide) for ankylosing spondylitis, presented with a right retroperitoneal hematoma combined with contralateral subcapsular renal hematoma. Bleeding on his right side was successfully controlled by arterial embolization with coils, whereas the left renal hematoma was treated conservatively. His recovery period was uneventful.ConclusionThis is the first reported case of bilateral retroperitoneal bleeding in a patient receiving nimesulide for ankylosing spondylitis. The application of minimally invasive techniques resulted in the desired positive outcome with preservation of both renal units.

show abstract

“…Although total hip arthroplasty is generally regarded as safe, an associated mortality with this procedure has been reported [7,[10][11][12][13]20,21].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of cases if they are not related to trauma, surgery or puncture; are due to ruptured renal lesions (such as angiomyolipomas [7][8][9]; however, vascular disorders [10,11] and anticoagulation therapy [12][13][14][15][16][17][18], may also be the underlying cause. Sometimes is not possible to find an abnormality responsible for the bleeding [19] Renal tumours account for 58% to 79% of cases of non-traumatic retroperitoneal haemorrhage [7,20].…”

Section: Introductionmentioning

confidence: 99%

Case report: Delayed spontaneous retroperitoneal haematoma after unilateral total hip replacement

Fairén¹,

Duart²,

Alonso³

et al. 2017

Rheumatol Orthop Med

View full text Add to dashboard Cite

We present the case of a 59-year-old woman who developed a major spontaneous retroperitoneal haematoma after performing a unilateral total hip arthroplasty. We reviewed the literature to see that a retroperitoneal haematoma is a rare event which can potentially be life-threatening.In our patient, the abdominal pain instead of being acute, as it happens on the majority of retroperitoneal haematomas, it started at day five postop associated to a sensation of abdominal fullness. An urgent CT was ordered to achieve de diagnose.A selective angiographic embolization was employed to stop the bleeding. Even if a total hip arthroplasty is a safe procedure, we need to be alert on operated patients with abdominal pain after the surgery and perform a careful evaluation.

show abstract

Embolization of a bleeding aneurysm in a patient with spontaneous perirenal haematoma due to polyarteritis nodosa

Abstract: A selective embolization of the bleeding aneurysm is a therapeutical maneuver to be considered.

Cited by 7 publications

References 5 publications

Polyarteritis nodosa with perirenal hematoma due to the rupture of a renal artery aneurysm

Polyarteritis nodosa with perirenal hematoma due to the rupture of a renal artery aneurysm

Bilateral spontaneous retroperitoneal bleeding in a patient on nimesulide: a case report

Case report: Delayed spontaneous retroperitoneal haematoma after unilateral total hip replacement

Contact Info

Product

Resources

About