Laparoscopic Management of Spontaneous Retroperitoneal Hemorrhage

Peña, Juan Antonio; Serrano, M.; Cosentino, Marco; Rosales, Antonio; Algaba, Ferrán; Palou, Juan; Villavicencio, H.

doi:10.1159/000324104

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…The first reported case about laparoscopic management of WS was published in 2011 [ 7 ]. In patient with ruptured AML laparoscopic nephrectomy was done in the acute phase.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical time was 250 minutes and blood loss 2000 mL (including hematoma). Peña et al presented four patients with WS treated by laparoscopy [ 7 ]. The cause of the bleeding was AML in two patients and papillary renal cell cancer in two patients.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopy provides all known benefits of minimally invasive procedures. For instance, the pressure induced by the pneumoperitoneum may help in diminishing bleeding from the hematoma during dissection [ 7 ]. The operation in WS is an imitation of the standard laparoscopic nephrectomy, but the massive retroperitoneal hematoma and bleeding from the hematoma during the dissection makes the whole operation more challenging.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Treatment of a Spontaneously Ruptured Kidney (Wunderlich Syndrome)

Bretterbauer

Markić

Colleselli

et al. 2015

Case Reports in Urology

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Spontaneous, nontraumatic retroperitoneal hemorrhage or Wunderlich syndrome (WS) is a rare but potential life-threatening condition. In most patients a bleeding renal neoplasm is the cause of the retroperitoneal hematoma. The management of this condition includes a conservative approach in the hemodynamically stable patients and active treatment in the unstable patients. Active treatment includes angioembolization or surgery. If angioembolization is not available open surgery is in most cases the preferred approach. We present a patient with a spontaneously ruptured kidney due to a central renal angiomyolipoma, which was treated by laparoscopic nephrectomy.

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“…The first reported case about laparoscopic management of WS was published in 2011 [ 7 ]. In patient with ruptured AML laparoscopic nephrectomy was done in the acute phase.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Treatment of a Spontaneously Ruptured Kidney (Wunderlich Syndrome)

Bretterbauer

Markić

Colleselli

et al. 2015

Case Reports in Urology

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“…However, the applicability of these technologies during emergencies remains debatable. In 2011, Pena et al [ 13 ] reported the first case of laparoscopic treatment of ruptured angiomyolipoma (AML) during the acute bleeding phase. The transperitoneal approach was employed, with an operation time of 250 min and blood loss of 2000 mL (including hematoma).…”

Section: Introductionmentioning

confidence: 99%

Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Laparoscopic Nephrectomy: A Case Series

Tao,

Zhang,

Zhang

et al. 2024

Am J Case Rep

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Case series Patients: Female, 44-year-old • Female, 56-year-old • Male, 45-year-old Final Diagnosis: Wünderlich syndrome Symptoms: Flank pain Clinical Procedure: — Specialty: Urology Objective: Rare disease Background: Wünderlich syndrome (WS) is a rare diagnosis of nontraumatic spontaneous renal hemorrhage into the subcapsular, perirenal, or pararenal spaces. Prompt and effective intervention is necessary for an accurate pathological diagnosis and preservation of life. In the current literature, open surgery is the primary option when conservative treatment fails, but there can be serious trauma and corresponding consequences. Herein, we present 3 cases of Wünderlich syndrome managed by robot-assisted laparoscopic nephrectomy via a retroperitoneal approach. Case Reports: Patient 1 was a 44-year-old woman with right flank pain for 6 h. Patient 2 was a 53-year-old woman with a history of diabetes who had pain in her right flank pain and nausea for 1 day. Patient 3 was a 45-year-old man with left flank pain for 1 day. All cases of WS were confirmed by CT. All 3 patients were treated with retroperitoneal robot-assisted nephrectomy after conservative treatment failed. Pathological examination confirmed that patient 1 had angiomyolipoma, and patients 2 and 3 had renal clear cell carcinoma. At the 9-month follow-up, renal function was good and no evidence of recurrence or metastasis has been detected. Conclusions: These cases have highlighted the importance of the clinical history and imaging findings in the diagnosis of Wünderlich syndrome, and show that rapid management can be achieved using robot-assisted laparoscopic nephrectomy. However, it is crucial to have a skilled surgical team and adequate preoperative preparation.

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“…To date, LN has been successfully performed for a variety of benign and malignant conditions that were traditionally considered relatively contraindicated. LN for spontaneous nontraumatic retroperitoneal hemorrhage secondary to renal neoplasm 4,5 and late LN for previously documented renal trauma using the transperitoneal approach 6 have been reported.…”

Section: Introductionmentioning

confidence: 99%