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Authors Lu HY, Wei W, Chen QW, Meng QG, Hu GH, Yi XL, Bai XZ
Received 24 September 2017
Accepted for publication 18 January 2018
Published 8 March 2018 Volume 2018:14 Pages 489—492
DOI https://doi.org/10.2147/TCRM.S152460
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Hoa Le
Peer reviewer comments 3
Editor who approved publication: Professor Deyun Wang
Objectives: To study an uncommon
life-threatening disease, spontaneous retroperitoneal and perirenal hemorrhage.
Case descriptions: A
69-year-old male presented with pain in the left waist and back of 1 month
duration. The renal abscess was suspected by magnetic resonance imaging before
operation. The perirenal hematoma was cleaned by operation. In another case,
the patient had a functional solitary left kidney compressed by a huge
retroperitoneal mass and uropenia appeared.
Results: The first patient died of adult respiratory
distress syndrome after surgery. The second patient died of cardiac
insufficiency and pulmonary embolism on the second day after evacuation of
retroperitoneal hematoma.
Conclusion: Conservative surgery, such as selective arterial
embolization, is a reasonable approach in patients with chronic spontaneous
retroperitoneal and perirenal space hemorrhage and with poor general condition.
We strongly recommend drainage or interventional therapy, but not a major
surgery, in patients with poor condition.
Keywords: kidney,
spontaneous, retroperitoneal, hemorrhage, surgery