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Small renal carcinoma with large retroperitoneal hemorrhage: Diagnostic considerations

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Urologic radiology

Abstract

Two cases of small peripheral papillary renal carcinoma causing large spontaneous perirenal hemorrhages are presented. The value and limitations of computerized tomography, ultrasonography, arteriography, and percutaneous aspiration biopsy in these cases are discussed. The need for careful explorative surgery and dissection of the specimen is emphasized. Excretory urography should be the first examination in all patients with renal pain and signs of internal bleeding. Arteriography should be done when the diagnosis is not evident.

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References

  1. Gilbert JT: Spontaneous rupture of hypernephroma simulating the acute surgical abdomen.Am Surg 26:136–140, 1960

    PubMed  CAS  Google Scholar 

  2. Novicki DE, Turlington JT, Ball TP Jr: The evaluation and management of spontaneous perirenal hemorrhage.J Urol 123:764–765, 1980

    PubMed  CAS  Google Scholar 

  3. McDouglas WS, Kursh ED, Persky L: Spontaneous rupture of the kidney with perirenal hematoma.J Urol 114:181, 1975

    Google Scholar 

  4. McLean PA, Wilson JD, Kelalis P: Spontaneous retroperitoneal hemorrhage associated with hypernephroma.J Urol 98:576–578, 1967

    PubMed  CAS  Google Scholar 

  5. Myers MA, Whalen JP, Evans JA: Diagnosis of perirenal and subcapsular masses.AJR 121:523–538, 1974

    Google Scholar 

  6. Uson AC, Knappenberger ST, Melicow M: Nontraumatic perirenal hematomas — a report based on seven cases.J Urol 81:388–394, 1959

    PubMed  CAS  Google Scholar 

  7. Schaner E, Balow JE, Doppman JL: Computed tomography in the diagnosis of subcapsular and perirenal hematoma.AJR 129:83–88, 1977

    PubMed  CAS  Google Scholar 

  8. Hare W, Somerset JB: Non-traumatic perirenal hematoma: the value of arteriography in diagnosis.Urology 106:828–830, 1971

    CAS  Google Scholar 

  9. Mancilla-Jimenez R, Stanley RJ, Blath RA: Papillary renal cell carcinoma: a clinical, radiologic, and pathologic study of 34 cases.Cancer 38:2469–2480, 1976

    Article  PubMed  CAS  Google Scholar 

  10. Thompson GJ, Culp OS: Perplexing cystie masses near the kidney.J Urol 39:370–376, 1963

    Google Scholar 

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Morettin, L.B., Kumar, R. Small renal carcinoma with large retroperitoneal hemorrhage: Diagnostic considerations. Urol Radiol 3, 143–148 (1981). https://doi.org/10.1007/BF02938782

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  • DOI: https://doi.org/10.1007/BF02938782

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