A rare life-threatening disease: unilateral kidney compressed by huge chronic spontaneous retroperitoneal hemorrhage

A rare life-threatening disease: unilateral kidney compressed by huge chronic spontaneous retroperitoneal hemorrhage

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Hao-Yuan Lu,1,* Wei Wei,2,* Qi-Wei Chen,1,* Qing-Gui Meng,1 Gao-Hua Hu,1 Xian-Lin Yi,1,3 Xian-Zhong Bai1 1Department of Urology, Tumor Hospital of Guangxi Medical University and Guangxi Cancer Research Institute, Nanning 530021, China; 2Department of Radiology, Tumor Hospital of Guangxi Medical University and Guangxi Cancer Research Institute, Nanning 530021,China; 3Hubei Engineering Medical and Ambulatory supplies / Housekeeping Laboratory for Synthetic Microbiology, Wuhan Institute of Biotechnology, Wuhan 430075, China *These authors contributed equally to this work 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 Fat Burners 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.