Spontaneous Retroperitoneal Hemorrhage From Renal Carcinoma

Sarcomatous Carcinoma of the Kidney Presenting as Spontaneous Retroperitoneal Hemorrhage

“…The presence of SPH with any poorly defined abnormality of the renal outline should be considered highly probable for the presence of renal cell carcinoma [23]: a nephrectomy should seriously be considered in these circumstances as well as in patients without a reasonable cause for bleeding [21], In our opinion a nonoperative approach is rarely advisable owing to the risk of not recognizing a small, avascular tumor. Five of the recently reported cases of perirenal hematoma were associated with renal tumors.…”

Wunderlich syndrome; Spontaneous Atraumatic Rupture of the kidney: A case report

“…The possibility of underlying renal tumour and the poor sensitivity of pre-operative imaging to confi rm the presence of tumour within the haematoma has been put forward as justifi cation for radical nephrectomy in such patients. This view has been advocated by numerous authors including Bagley (1982) Kendall (1988) and Novicki (1980) in their respective series of ASRK due to the seemingly high probability of fi nding small renal cell carcinomas during histological assessment [10][11][12].…”

Bilateral spontaneous perirenal haemorrhage in a patient on haemodialysis

“…Management for spontaneous perirenal haemorrhage may pose a dilemma. Many urologists believe that exploratory surgery or nephrectomy is indicated in all patients with an explained spontaneous perirenal haematoma and normal contralateral kidney [ 7 , 12 , 13 ]. The rationale for management of these cases must take into account that the commonest cause of spontaneous perirenal haemorrhage is tumour, benign and malignant nature of which have almost equal incidence and can occur in both the young and elderly.…”