Does spontaneous renal hemorrhage mandate close surveillance for impending renal cell carcinoma? A case report and literature review

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved..

INTRODUCTION: Renal cell carcinoma (RCC) classically presents as a triad of hematuria, loin pain, and a palpable mass. However, Renal cell carcinomas (RCCs) nowadays are more commonly present as incidental findings rather than symptomatic. Wunderlich syndrome is a rare first presentation of RCC.

PRESENTATION OF CASE: We present a clinical case of spontaneous renal hemorrhage with unclear etiology that was treated with therapeutic embolization and was found to have renal mass after long follow up.

DISCUSSION AND CONCLUSION: In regards to treating Wunderlich syndrome, some authors favor angioembolization and follow up. Others proposed radical nephrectomy in conditions with no apparent etiology and normal contralateral kidney because of the high incidence of small renal tumors. Spontaneous perinephric hematoma of unknown etiology should be followed up regularly with a CT image for concerning of impending renal tumor.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:73

Enthalten in:

International journal of surgery case reports - 73(2020) vom: 15., Seite 44-47

Sprache:

Englisch

Beteiligte Personen:

Aldughiman, Abdullah W [VerfasserIn]
Alsunbul, Abdulrahman [VerfasserIn]
Al-Gadheeb, Abdullah [VerfasserIn]
Almuaiqel, Muaiqel [VerfasserIn]
Alzahrani, Ahmad [VerfasserIn]
Alzahrani, Tarek [VerfasserIn]
Alghamdi, Abdullah [VerfasserIn]
Alakrash, Hamad [VerfasserIn]

Links:

Volltext

Themen:

Angioembolization
Case Reports
Computed tomography
Nephrectomy
Renal cell carcinoma
Wunderlich syndrome

Anmerkungen:

Date Revised 10.01.2021

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.ijscr.2020.06.067

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM31212225X