scholarly journals Spontaneous retroperitoneal haemorrhage caused by rupture of renal angiomyolipoma

2021 ◽  
Vol 22 (1) ◽  
pp. 42-43
Author(s):  
Tomáš Kovařík ◽  
Lumír Domes ◽  
Michal Plintovič ◽  
Libor Palička
Keyword(s):  
Renal Angiomyolipoma ◽  
Retroperitoneal Haemorrhage

scholarly journals Retroperitoneal haemorrhage in renal angiomyolipoma causing hepatic functional decompensation: a case report

2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Julekha R Wajed ◽  
Simon D Taylor-Robinson ◽  
James E Jackson ◽  
Gordon WH Stamp
Keyword(s):  
Case Report ◽  
Renal Angiomyolipoma ◽  
Retroperitoneal Haemorrhage

scholarly journals Endovascular Therapy for Patients with Renal Angiomyolipoma Presenting with Retroperitoneal Haemorrhage

2010 ◽  
Vol 39 (6) ◽  
pp. 739-744 ◽  
Author(s):  
M. Incedayi ◽  
U.C. Turba ◽  
B. Arslan ◽  
S.S. Sabri ◽  
W.E.A. Saad ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Renal Angiomyolipoma ◽  
Retroperitoneal Haemorrhage

scholarly journals Not All Acute Abdomen Cases in Early Pregnancy Are Ectopic; Expect the Unexpected: Renal Angiomyolipoma Causing Massive Retroperitoneal Haemorrhage

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Muhammad Asim Rana ◽  
Ahmed F. Mady ◽  
Nagesh Jakaraddi ◽  
Shahzad A. Mumtaz ◽  
Habib Ahmad ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Multislice Ct ◽  
Management Plan ◽  
Haemodynamic Instability ◽  
Renal Angiomyolipoma ◽  
Retroperitoneal Haematoma ◽  
Best Management ◽  
Renal Aneurysm ◽  
Arterial Embolisation ◽  
Retroperitoneal Haemorrhage

Retroperitoneal haemorrhage (or retroperitoneal haematoma) refers to an accumulation of blood found in the retroperitoneal space. It is a rare clinical entity with variable aetiology including anticoagulation, ruptured aortic aneurysm, acute pancreatitis, malignancy, and bleeding from renal aneurysm. Diagnosis of retroperitoneal bleed is sometimes missed or delayed as presentation is often nonspecific. Multislice CT and arteriography are important for diagnosis. There is no consensus about the best management plan for patients with retroperitoneal haematoma. Stable patients can be managed with fluid resuscitation, correction of coagulopathy if any, and blood transfusion. Endovascular options involving selective intra-arterial embolisation or stent-grafts are clearly getting more and more popularity. Open repair is usually reserved for cases when there is failure of conservative or endovascular measures to control the bleeding or expertise is unavailable and in cases where the patient is unstable. Mortality of patients with retroperitoneal haematoma remains high if appropriate and timely measures are not taken. Haemorrhage from a benign renal tumour is a rarer entity which is described in this case report which emphasizes that physicians should have a wide index of suspicion when dealing with patients presenting with significant groin, flank, abdominal, or back pain, or haemodynamic instability of unclear cause. Our patient presented with features of acute abdomen and, being pregnant, was thought of having a ruptured ectopic pregnancy.

scholarly journals 284 Wunderlich Syndrome - Case Report of a Surgical Emergency Due to Spontaneous Non-Traumatic Retroperitoneal Haemorrhage

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Patil ◽  
P Prakash Narayan ◽  
J Henderson
Keyword(s):  
Hypovolemic Shock ◽  
Arterial Embolization ◽  
Rare Condition ◽  
Sudden Onset ◽  
Haemodynamic Instability ◽  
Renal Angiomyolipoma ◽  
Successful Management ◽  
Selective Embolization ◽  
Acute Flank Pain ◽  
Retroperitoneal Haemorrhage

Abstract A 42-year-old female with no other significant co-morbidities presented with complaints of sudden onset abdominal pain, she was in state of shock- her haemoglobin dropped drastically to 6.8g/dl from 11.8g/dl. She was resuscitated and was given blood transfusion. CT Scan was suggestive of retroperitoneal haemorrhage due to rupture of Renal angiomyolipoma (RAML). Patient underwent selective embolization of renal artery the next day and was discharged after 3 days of post-operative stay. Wunderlich Syndrome-is a rare condition in which spontaneous nontraumatic renal haemorrhage occurs into the subcapsular and perirenal spaces is most commonly caused due to spontaneous rupture of RAML.It is characterized by Lenk’s triad – Acute flank pain, flank mass, hypovolemic shock. Size of AML (>4 cm), prothrombotic states such as pregnancy are main causes of AML rupture. Patients are managed conservatively or with help of selective arterial embolization. Nephrectomy is last resort in a hemodynamically unstable patient or in cases of embolization failure. When dealing with acute abdomen with haemodynamic instability in non-traumatic cases it is essential to consider possibility of Wunderlich Syndrome. Early diagnosis, availability of Interventional radiology is key to successful management and potentially avoiding a Nephrectomy.

Prevalence and natural history of sporadic non-tuberous sclerosis associated renal angiomyolipoma

2013 ◽  
Vol 34 (S 01) ◽  
Author(s):  
A Fittschen ◽  
A Akinli ◽  
W Kratzer ◽  
S Oeztuerk ◽  
MM Haenle ◽  
...  
Keyword(s):  
Natural History ◽  
Tuberous Sclerosis ◽  
Renal Angiomyolipoma ◽  
History Of

Superselective Embolization of Renal Angiomyolipoma

1994 ◽  
Vol 30 (3) ◽  
pp. 549
Author(s):  
Jae Hoon Lim ◽  
Young Tae Ko ◽  
Dong Ho Lee ◽  
Joo Won Lim ◽  
Yup Yoon ◽  
...  
Keyword(s):  
Renal Angiomyolipoma ◽  
Superselective Embolization
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