Spontaneous Retroperitoneal Hemorrhage Caused by Segmental Arterial Mediolysis

Overview

Journal Rev Urol

Date 2006 Sep 21

PMID 16985559

Citations 15

Authors

Courtney K Phillips

Herbert Lepor

Affiliations

Soon will be listed here.

Abstract

Spontaneous retroperitoneal hemorrhage is a rare clinical entity; signs and symptoms include pain, hematuria, and shock. Spontaneous retroperitoneal hemorrhage can be caused by tumors, such as renal cell carcinoma and angiomyolipoma; polyarteritis nodosa; and nephritis. The least common cause is segmental arterial mediolysis. Although computed tomography is used for the diagnosis of spontaneous retroperitoneal hemorrhage, it can miss segmental arterial mediolysis as the cause of the hemorrhage. The diagnosis of segmental arterial mediolysis as a cause of spontaneous retroperitoneal hemorrhage requires angiography, with pathologic confirmation for a definitive diagnosis.

Citing Articles

Trauma by Couch: A Case Report of a Massive Traumatic Retroperitoneal Hematoma.

Smith C, Stephenson G, Wray A, Hatter M J Educ Teach Emerg Med. 2023; 8(3):V5-V9.

PMID: 37575408 PMC: 10414980. DOI: 10.21980/J84D2Q.

Spontaneous retroperitoneal haemorrhage following re-perfusion of an ischaemic kidney leading to emergency trauma nephrectomy.

Barns M, Hanna J, Kuan M Urol Case Rep. 2023; 50:102464.

PMID: 37560442 PMC: 10407032. DOI: 10.1016/j.eucr.2023.102464.

Spontaneous retroperitoneal hematoma: a case report.

Kurotaki T, Okada N, Sakurai Y, Yamabuki T, Takada M, Kato K J Med Case Rep. 2023; 17(1):70.

PMID: 36849897 PMC: 9972597. DOI: 10.1186/s13256-023-03794-4.

Pulmonary lymphangioleiomyomatosis with an associated giant renal angiomyolipoma.

John J, Aldera A, Louw D, Lazarus J, Kesner K Ther Adv Urol. 2022; 14:17562872211069700.

PMID: 35096144 PMC: 8796109. DOI: 10.1177/17562872211069700.

Clinically Suspected Segmental Arterial Mediolysis of the Splanchnic Arteries: A Report of 2 Rare Cases.

Castelli F, Ini C, Scavone G, Zagarella M, Giulietti G, Caltabiano G Am J Case Rep. 2021; 22:e929013.

PMID: 33830972 PMC: 8042417. DOI: 10.12659/AJCR.929013.

References

Yonou H, Miyazato M, Sugaya K, Koyama Y, Hatano T, Ogawa Y . Simultaneous bilateral perirenal hematomas developing spontaneously in a patient with polyarteritis nodosa. J Urol. 1999; 162(2):483. View

McDougal W, Kursh E, Persky L . Spontaneous rupture of the kidney with perirenal hematoma. J Urol. 1975; 114(2):181-4. DOI: 10.1016/s0022-5347(17)66981-7. View

GRUENWALD P . Necrosis in the coronary arteries of newborn infants. Am Heart J. 1949; 38(6):889-97, illust. DOI: 10.1016/0002-8703(49)90889-3. View

Armas O, Donovan D . Segmental mediolytic arteritis involving hepatic arteries. Arch Pathol Lab Med. 1992; 116(5):531-4. View

Zagoria R, Dyer R, Assimos D, Scharling E, Quinn S . Spontaneous perinephric hemorrhage: imaging and management. J Urol. 1991; 145(3):468-71. DOI: 10.1016/s0022-5347(17)38370-2. View

Heritz D, Butany J, Johnston K, Sniderman K . Intraabdominal hemorrhage as a result of segmental mediolytic arteritis of an omental artery: case report. J Vasc Surg. 1990; 12(5):561-5. DOI: 10.1067/mva.1990.24040. View

Morgentaler A, Belville J, Tumeh S, Richie J, Loughlin K . Rational approach to evaluation and management of spontaneous perirenal hemorrhage. Surg Gynecol Obstet. 1990; 170(2):121-5. View

Tocci P, Lankford R, Lynne C . Spontaneous rupture of the kidney secondary to polyarteritis nodosa. J Urol. 1975; 113(6):860-3. DOI: 10.1016/s0022-5347(17)59600-7. View

Slavin R, Cafferty L, Cartwright Jr J . Segmental mediolytic arteritis. A clinicopathologic and ultrastructural study of two cases. Am J Surg Pathol. 1989; 13(7):558-68. View

10.

Chang S, Ma C, Lee S . Spontaneous retroperitoneal hemorrhage from kidney causes. Eur Urol. 1988; 15(3-4):281-4. DOI: 10.1159/000473452. View

11.

Smailowitz Z, Kaneti J, SOBER I . Spontaneous perirenal hematoma: a complication of polyarteritis nodosa. J Urol. 1979; 121(1):82-3. DOI: 10.1016/s0022-5347(17)56671-9. View

12.

Kendall A, Senay B, Coll M . Spontaneous subcapsular renal hematoma: diagnosis and management. J Urol. 1988; 139(2):246-50. DOI: 10.1016/s0022-5347(17)42376-7. View

13.

Oesterling J, Fishman E, Goldman S, Marshall F . The management of renal angiomyolipoma. J Urol. 1986; 135(6):1121-4. DOI: 10.1016/s0022-5347(17)46013-7. View

14.

Trivedi R, Levy M, Ibrahim I, Bonacarti A . Spontaneous retroperitoneal hemorrhage from a ruptured hypernephroma. J Surg Oncol. 1979; 11(3):269-73. DOI: 10.1002/jso.2930110313. View

15.

Goldman H, Howard R, Patterson A . Spontaneous retroperitoneal hemorrhage from a giant adrenal myelolipoma. J Urol. 1996; 155(2):639. View

16.

Sueyoshi E, Sakamoto I, Hayashi N, Fukuda T, Matsunaga N, Hayashi K . Ruptured renal artery aneurysm due to Behçet's disease. Abdom Imaging. 1996; 21(2):166-7. DOI: 10.1007/s002619900036. View

17.

Yang J, Hye R . Ruptured renal artery aneurysm during pregnancy. Ann Vasc Surg. 1996; 10(4):370-2. DOI: 10.1007/BF02286782. View

18.

Koh K, George J . Radiological parameters of bleeding renal angiomyolipoma. Scand J Urol Nephrol. 1996; 30(4):265-8. DOI: 10.3109/00365599609182303. View

19.

Catalano O . Retroperitoneal hemorrhage due to a ruptured adrenal myelolipoma. A case report. Acta Radiol. 1996; 37(5):688-90. DOI: 10.1177/02841851960373P254. View

20.

Kubota J, Tsunemura M, Amano S, Tokizawa S, Oowada S, Shinkai H . Non-Marfan idiopathic medionecrosis (cystic medial necrosis) presenting with multiple visceral artery aneurysms and diffuse connective tissue fragility: two brothers. Cardiovasc Intervent Radiol. 1997; 20(3):225-7. DOI: 10.1007/s002709900143. View