Spontaneous Renal Rupture Treated by Transcatheter Arterial Embolization: A Case Report

Ozawa, Mahito; Ishii, Tatsuya; Suenaga, Shinta; Suzuki, Hitoshi; Tsuchiya, Norihiko

doi:10.5980/jpnjurol.108.158

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Spontaneous renal rupture usually occurs after upper urinary calculi-related operation treatment or renal tumor, [ 2 , 4 ] it has also been reported during pregnancy, [ 5 ] transplant kidney and nephritis. [ 6 , 7 ] According to the location of renal rupture, it can be divided into renal parenchyma rupture, collecting system rupture or mixed rupture, [ 1 ] patient may experience corresponding symptoms, such as pain, hematuresis and Wunderlich syndrome. [ 7 ] The patient did not have any obstruction and tumor, but this patient has a compensatorily enlarged left kidney due to the atrophy of the right kidney, this left kidney may be relatively fragile, more importantly, the patient has hemophilia, which is a bleeding-prone disease for the lack of clotting factor.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment methods for renal rupture are varied. [1][2][3] The spontaneous renal rupture has been reported in many literature before, but it caused by hemophilia has hardly been reported. The report describes a rare case of left renal rupture caused by hemophilia, furthermore, the patient also had some atrophy of the right kidney.…”

Section: Introductionmentioning

confidence: 99%

“…Spontaneous renal rupture is an uncommon clinical disease, according to the location of the rupture, it often leads to perirenal hematoma or urinary extravasation. [ 1 ] These patients show fierce pain or gross hematuria, because of potential complications, there the need for urgent intervention is required. In the case of contralateral kidney lesions, there is a risk of acute renal failure occurring.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous renal rupture caused by factor VII deficiency: A case report

Yang,

Luo,

et al. 2024

Medicine

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Rationale: Spontaneous renal rupture is an uncommon disease, it usually occurs after upper urinary calculi-related operation treatment or renal tumor. This disease caused by factor VII deficiency has rarely reported. Patient concerns: A 49-year-old woman came to our hospital with on the left flank pain and gross hematuria that had persisted for 10 days. The patient had no recent history of waist and abdominal trauma or surgical history recently. Diagnoses: An outside computed tomography (CT) examination revealed left renal rupture before arriving at our hospital, but she was not treated. Further laboratory examination revealed that the patient condition was turned out to be hemophilia caused by factor VII deficiency. Intervention: We have used both internal and external drainage methods, and supplemented with coagulation factor. Outcome: After 9 months of follow-up, it was observed that the left renal hematoma and urinary extravasation was completely absorbed. Lessons: Spontaneous renal rupture for hemophilia is a clinical emergency. When spontaneous renal rupture is associated with abnormal coagulation function, and the coagulation function cannot be corrected by conventional treatment, the possibility of hemophilia needs to be considered, and the type of hemophilia needs to be further defined. This case indicates a successful resolution of spontaneous renal rupture, it can provide guiding value for our clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spontaneous renal rupture caused by factor VII deficiency: A case report

Yang,

Luo,

et al. 2024

Medicine

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“…Spontaneous renal rupture is a rare urologic emergency defined as a rupture of the renal parenchyma, collecting system, or renal vessels (1). Since there is no history of trauma in cases of spontaneous renal rupture, there is usually an underlying renal disease, the leading causes of which are malignancy and vascular smooth muscle lipoma (2,3).…”

Section: Introductionmentioning

confidence: 99%

Delayed bilateral spontaneous renal rupture after surgery for unilateral upper ureteral calculi: a case report

Tang,

Yang,

et al. 2023

Front. Med.

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Spontaneous renal rupture is a rare clinical condition characterized by spontaneous bleeding in the renal subcapsular and perinephric spaces in patients without a history of trauma. It occurs mainly in pathologic kidneys and after some renal surgeries. We report a 40-year-old male patient admitted with a diagnosis of gallstones with cholecystitis due to fever and abdominal pain after unilateral ureteral calculi. The patient developed delayed right renal rupture hemorrhage during treatment, controlled after selective arterial embolization (SAE). Still, the patient developed spontaneous left renal rupture due to a systemic inflammatory response. Finally, the patient’s life was saved after several selective embolizations of the renal artery. We retrospectively analyzed this case to improve our understanding of the disease.

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“…Spontaneous rupture of the kidney is a rare but clinically critical event (1). According to its location, spontaneous rupture of the kidney may be categorized as renal parenchyma rupture, renal collecting system rupture or mixed rupture (2). Spontaneous rupture of the renal parenchyma is uncommon and its incidence is lower compared with that of renal pelvis rupture (3).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous renal rupture due to renal calculi: A case report and literature review

et al. 2022

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Spontaneous renal parenchymal rupture is a rare clinical emergency. The formation of benign and malignant tumors is the most common underlying cause of spontaneous rupture of renal parenchyma. To the best of our knowledge, 15 cases of renal parenchymal rupture have been reported to date. This report describes a rare case of renal parenchyma rupture in the lower left kidney caused by kidney calculi. Furthermore, previously published cases and articles were reviewed. The patient underwent four extracorporeal shockwave lithotripsy procedures within 2 years. The renal parenchyma rupture caused by the stones was successfully treated by removing the stones and repairing the kidney. However, a large hematoma was discovered around the lower pole of the left kidney, suggesting the possibility of a renal tumor. Therefore, radical nephrectomy was performed. Postoperative pathology revealed the lesion to be consistent with an intrarenal stone, where no malignancy, infection or vascular disease was observed. The present case highlights the requirement to also take into account the patient's clinical history in cases where imaging cannot completely identify the underlying cause of renal parenchymal rupture. Accurate identification of the underlying etiology of spontaneous renal rupture may determine the best treatment for the patient. The purpose of the present report is to facilitate the identification of the disease and reduce the rate of clinical misdiagnosis.

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Spontaneous Renal Rupture Treated by Transcatheter Arterial Embolization: A Case Report

Cited by 3 publications

References 6 publications

Spontaneous renal rupture caused by factor VII deficiency: A case report

Spontaneous renal rupture caused by factor VII deficiency: A case report

Delayed bilateral spontaneous renal rupture after surgery for unilateral upper ureteral calculi: a case report

Spontaneous renal rupture due to renal calculi: A case report and literature review

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