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Spontaneous retroperitoneal hemorrhage from a ruptured hypernephroma
Author(s) -
Trivedi R.,
Levy M.,
Ibrahim I.,
Bonacarti A.
Publication year - 1979
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930110313
Subject(s) - medicine , flank pain , retroperitoneal hemorrhage , retroperitoneal space , surgery , shock (circulatory) , radiology , presentation (obstetrics) , intravenous pyelography , arteriovenous fistula , heart failure , urinary system , cardiology
The clinical presentation and roentgenographic findings of renal cell carcinoma have been consistently variable. These patients can appear with flank pain mimicking ureteral colic, flank tumors, or symptomatic metastasis [1]. Systemic cardiac manifestations including cardiomegaly with congestive heart failure due to arteriovenous fistula formation have been reported [2]. Roentgenographic findings may show the tumor to be either vascular or avascular. It may present as a spontaneous perforation of the pelvic ureteral system which is demonstrated by intravenous pyelography [3]. In this article, we describe a case of hypernephroma in a cyst wall causing severe spontaneous hemorrhage in the retroperitoneal space resulting in a state of hypovolemic shock.