Spontaneous renal haemorrhage in the peritoneal cavity.
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Journal: 2006/December - Postgraduate Medical Journal
ISSN: 1469-0756
Abstract:
A 49 year old woman was admitted to hospital after a sudden onset of severe back pain. Twelve hours later, the haemoglobin had decreased to 5.9 and became unstable. She underwent emergency laparotomy that showed intraperitoneal bleeding, secondary to spontaneous kidney rupture. The patient was given a nephrectomy. Histological examination showed an angiomyolipoma as the cause of the bleeding. To the knowledge of the authors, only five previous cases of spontaneous renal bleeding into the peritoneal cavity have been reported in English literature.
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Postgrad Med J 82(969): e14
PMID: 16822913

Spontaneous renal haemorrhage in the peritoneal cavity

A Abdellaoui, V Natarajan, D Sandilands, Department of Surgery, East Lancashire Hospitals NHS Trust, Burnley, UK
W Al‐Daraji, Department of Pathology, East Lancashire Hospitals NHS Trust
Correspondence to: MrA Abdellaoui
31 Sulby Drive, Lancaster LA1 4RP, UK; abdellaoui@doctor.com
A Abdellaoui, V Natarajan, D Sandilands, Department of Surgery, East Lancashire Hospitals NHS Trust, Burnley, UKW Al‐Daraji, Department of Pathology, East Lancashire Hospitals NHS TrustCorrespondence to: MrA Abdellaoui
31 Sulby Drive, Lancaster LA1 4RP, UK; abdellaoui@doctor.com
Received 2005 Dec 28; Accepted 2006 Feb 7.
Copyright ©2006 The Fellowship of Postgraduate Medicine.

Abstract

A 49 year old woman was admitted to hospital after a sudden onset of severe back pain. Twelve hours later, the haemoglobin had decreased to 5.9 and became unstable. She underwent emergency laparotomy that showed intraperitoneal bleeding, secondary to spontaneous kidney rupture. The patient was given a nephrectomy. Histological examination showed an angiomyolipoma as the cause of the bleeding. To the knowledge of the authors, only five previous cases of spontaneous renal bleeding into the peritoneal cavity have been reported in English literature.

Keywords: peritoneal cavity, haemoperitoneum, kidney
Abstract

Spontaneous renal haemorrhage in the peritoneal cavity is a rare condition. Clinical awareness and appropriate management may be life saving. Here we present a case of spontaneous kidney rupture secondary to angiomyolipoma presenting as an acute abdomen.

Footnotes

Funding: none.

Conflicts of interest: none.

Footnotes

References

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