<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric...<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric hematoma with no associated pa</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">thology or provocation is a rare clinical phenomenon. The hematoma requires a two</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Aims:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year follow up. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Case Presentation:</span><span style="font-family:Verdana;"></span></strong></b></span><span style="font-family:Verdana;"> A previously healthy 38-year-old woman, presented with a sudden onset of left flank pain, associated with fatigue and pallor. The patient remained hemodynamically stable with no significant history or associated provocations identified. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Conclusion:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">The acute management strategy is favorable in such condition, as the hematoma remains under tam</span><span style="font-family:Verdana;">ponade in the retroperitoneal space, regardless of the size and organ dis</span><span style="font-family:Verdana;">placement. Closed observation, serial blood investigation and repeated CT scans are vital to assist in the decision to intervene.</span></span>展开更多
Renal angiomyolipomas are the most common benign tumours of the kidney accounting for up to 1% of all renal masses. Giant angiomyolipomas which have a size greater than 10 centimetres are rare entities with few cases ...Renal angiomyolipomas are the most common benign tumours of the kidney accounting for up to 1% of all renal masses. Giant angiomyolipomas which have a size greater than 10 centimetres are rare entities with few cases reported in literature. Small angiomyolipomas are usually a symptomatic and increasing size correlates with symptomatology. These are usually incidentally detected or when symptomatic may present with an abdominal lump, flank pain or hemorrhage. Herein, we report a rare case of 45-year-old lady with giant angiomyolipoma with clinical presentation indistinguishable from perinephric abscess. The case is rare with regards to the large size of tumour and the discordant presentation unusual for an angiomyolipoma.展开更多
文摘<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric hematoma with no associated pa</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">thology or provocation is a rare clinical phenomenon. The hematoma requires a two</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Aims:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year follow up. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Case Presentation:</span><span style="font-family:Verdana;"></span></strong></b></span><span style="font-family:Verdana;"> A previously healthy 38-year-old woman, presented with a sudden onset of left flank pain, associated with fatigue and pallor. The patient remained hemodynamically stable with no significant history or associated provocations identified. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Conclusion:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">The acute management strategy is favorable in such condition, as the hematoma remains under tam</span><span style="font-family:Verdana;">ponade in the retroperitoneal space, regardless of the size and organ dis</span><span style="font-family:Verdana;">placement. Closed observation, serial blood investigation and repeated CT scans are vital to assist in the decision to intervene.</span></span>
文摘Renal angiomyolipomas are the most common benign tumours of the kidney accounting for up to 1% of all renal masses. Giant angiomyolipomas which have a size greater than 10 centimetres are rare entities with few cases reported in literature. Small angiomyolipomas are usually a symptomatic and increasing size correlates with symptomatology. These are usually incidentally detected or when symptomatic may present with an abdominal lump, flank pain or hemorrhage. Herein, we report a rare case of 45-year-old lady with giant angiomyolipoma with clinical presentation indistinguishable from perinephric abscess. The case is rare with regards to the large size of tumour and the discordant presentation unusual for an angiomyolipoma.