Spontaneous hemoperitoneum secondary to retroperitoneal tumor rupture
Arch Esp Urol. 2014 Mar;67(2):210-3.
[Article in
English,
Spanish]
Authors
Felipe Saez Barranquero
1
, Maria Jose Descalzo Pulido, Bernardo Herrera Imbroda, Ramon Bonilla Parrilla, Celestino Gomez Rebollo, J E Perez Enriquez, E Castillo Gallardo, Juan Andres Cantero Mellado, Cristobal Marchal Escalona, Vicente Civico Amat, Francisco Javier Machuca Santa Cruz
Affiliation
- 1 Servicios de Urologia, Medicina Familiar, Urgencias, Radiologia y Anatomia Patológica. Hosapital Clinico Virgen de la Victoria.Malaga.Spain.
Abstract
Objective:
To report a case of GIST type retroperitoneal tumor with spontaneous rupture to the abdominal cavity causing acute abdomen secondary to hemoperitoneum.
Methods/results:
We report the case of an 84 year-old man with history of BPH and chronic atrial fibrillation. He presented to the Emergency Department with diffuse abdominal pain, syncope and accompanying vegetative symptoms. Diagnostic work up showed a 19 cm retroperitoneal mass dependent of the left kidney with active bleeding and secondary hemoperitoneum. Left radical nephrectomy was performed with pathology report of gastrointestinal stromal tumor attached to the renal capsule.
Conclusions:
Spontaneous hemoperitoneum is a rare entity and it has various etiologies. It is rarely described in retroperitoneal tumors.
MeSH terms
-
Aged, 80 and over
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Gastrointestinal Stromal Tumors / complications*
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Gastrointestinal Stromal Tumors / diagnostic imaging
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Gastrointestinal Stromal Tumors / surgery
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Hemoperitoneum / etiology*
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Hemoperitoneum / therapy
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Humans
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Kidney Neoplasms / complications*
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Kidney Neoplasms / diagnostic imaging
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Kidney Neoplasms / surgery
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Male
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Radiography
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Retroperitoneal Neoplasms / complications*
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Retroperitoneal Neoplasms / diagnostic imaging
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Retroperitoneal Neoplasms / surgery
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Rupture, Spontaneous