[Spontaneous retroperitoneal hematoma: our experience]. / Hematoma retroperitoneal espontáneo: nuestra experiencia.
Actas Urol Esp
; 23(1): 43-50, 1999 Jan.
Article
em Es
| MEDLINE
| ID: mdl-10089632
ABSTRACT
We report 15 cases of spontaneous retroperitoneal haematoma. The etiology and the diagnostic and therapeutic procedures were evaluated. The haematoma source was the adrenal gland in 4 patients and the causes were pheochromocytoma (1), adenoma (1), myelolipoma (1) and idiopathic (1). In 10 patients the source was the kidney and the causes were angiomyolipoma rupture (6), renal cell carcinoma (3) and ureteral calculi (1). In the remaining case, the haematoma was produced by fibrinolytic and anticoagulant therapy in a patient with acute myocardial infarction. The imaging diagnostic techniques employed were abdominal ultrasonography and CT scan, which allowed the diagnosis of haematoma and showed his size and extension in all the cases. With these two techniques, and with the retrograde pyelography in one patient, we obtained the etiologic diagnosis in 12 of the 15 cases. Surgical treatment was performed in 12 patients (adrenalectomy in 2, simple nephrectomy in 3, radical nephrectomy in 5 and partial nephrectomy in 2).
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Base de dados:
MEDLINE
Assunto principal:
Hematoma
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Ano de publicação:
1999
Tipo de documento:
Article