Massive Renal Hemorrhage Associated with Parturition

Abstract

Spontaneous massive renal hemorrhage, during or after parturition, not associated with blood dyscrasias or other recognizable etiology is rare. Two new cases are added to the 7 cases previously reported. The related literature is reviewed.

Spontaneous Perinephric Hemorrhage Associated with Urolithiasis in Pregnancy

“…[1][2][3][4] Ten cases of renal hemorrhage associated with parturition have been reported. [5][6][7][8][9][10] In these cases, the etiology of the bleeding was obscure, with no detectable pathology to account for the sudden onset of hemorrhage. 9 We report the first case of a spontaneous perinephric hematoma associated with urolithiasis in pregnancy.…”

“…[5][6][7][8][9][10] In these cases, the etiology of the bleeding was obscure, with no detectable pathology to account for the sudden onset of hemorrhage. 9 We report the first case of a spontaneous perinephric hematoma associated with urolithiasis in pregnancy. As shown by her negative MRI and angiography, the patient had none of the previously reported risk factors for spontaneous hemorrhage, to include tumors, vasculopathies, infections, and blood dyscrasias.…”

Spontaneous Perirenal Hematoma

“…Of these 194 patients, 16% had benign or malignant renal tumors, 15% had nephritis or rupture of uncertain origin and 4% had inflammatory vascular disorders. Other causes of SPH include ruptured renal cyst [3], pheochromocytoma [4], adrenal apoplexy [4], renal cortical abscess [5], anticoagulation [6], and pregnancy and puerperium [7]. Recent reports estimate the incidence of renal carcinoma to be about 50% in instances of SPH [8][9][10].…”

Spontane perirenale Hämatome bei Patienten mit Koagulopathien oder unter Antikoagulanzientherapie

“…If an emergent laparotomy is not necessary we recommend that these cases should be treated surgically after clinical stabilisation because tumours are the main reason for the haematomas and the patients have an urgent need for further anticoagulation therapy. sche Hämodialyse [13], Nierenabszesse [15] sowie Schwangerschaft und Geburt [5]. Patienten mit spontanen Nierenrupturen werden klinisch auffällig durch Flanken-oder abdominelle Schmerzen, Hämaturie, Hypotension oder Schock.…”