Laparoscopic treatment of a spontaneously ruptured kidney (wunderlich syndrome).

Autor: Bretterbauer KM; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria., Markić D; Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia., Colleselli D; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria., Hruby S; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria., Magdy A; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria., Janetschek G; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria., Mitterberger MJ; Department of Urology, University Clinics Salzburg, 5020 Salzburg, Austria.
Jazyk: angličtina
Zdroj: Case reports in urology [Case Rep Urol] 2015; Vol. 2015, pp. 701046. Date of Electronic Publication: 2015 Feb 26.
DOI: 10.1155/2015/701046
Abstrakt: Spontaneous, nontraumatic retroperitoneal hemorrhage or Wunderlich syndrome (WS) is a rare but potential life-threatening condition. In most patients a bleeding renal neoplasm is the cause of the retroperitoneal hematoma. The management of this condition includes a conservative approach in the hemodynamically stable patients and active treatment in the unstable patients. Active treatment includes angioembolization or surgery. If angioembolization is not available open surgery is in most cases the preferred approach. We present a patient with a spontaneously ruptured kidney due to a central renal angiomyolipoma, which was treated by laparoscopic nephrectomy.
Databáze: MEDLINE