Spontaneous renal vein rupture in pregnant woman: a case report

Authors

  • Renan Giffoni Rodrigues UFMG (Faculdade de Medicina)
  • Eric Levi Oliveira Lucas UFMG (Faculdade de Medicina)
  • André Luiz Bressan Moreira Pereira UFMG (Faculdade de Medicina)
  • Alfredo Lima Filho Faculdade de Medicina (UFMG)
  • Marcus Vinícius Capanema Gonçalves Hospital Risoleta Tolentino Neves/Fundep/UFMG
  • Lucas Figueredo Cardoso Hospital Risoleta Tolentino Neves/Fundep/UFMG
  • Paulo Vinícus Alves Lopes Hospital Risoleta Tolentino Neves/Fundep/UFMG
  • Filipe da Silva Terra Hospital Risoleta Tolentino Neves/Fundep/UFMG
  • Vivian Resende UFMG (Faculdade de Medicina)
  • Carla Jorge Machado UFMG (Faculdade de Medicina)
  • Michael Pereira Fernandes Hospital Risoleta Tolentino Neves/Fundep/UFMG
  • Vinícius Taranto Rodrigues Nunes Faculdade de Medicina (UFMG)
  • Mario Pastore Neto Hospital Risoleta Tolentino Neves/Fundep/UFMG

DOI:

https://doi.org/10.5327/Z1984-4840201626449

Keywords:

renal veins, rupture, spontaneous, nephrectomy, abdomen, acute, pregnancy

Abstract

Spontaneous perirenalhematoma are serious conditions that demand immediate attention. Although they have been described in the scientific literature since the late nineteenth century, its etiology is not fully understood. The present study reports the case of a 34 year-old patient, 39 weeks pregnant, that had been admitted complaining of acute abdominal pain. Physical examination was unremarkable, as well as the examination of transabdominal ultrasound. Her condition worsened later and she was referred to the operating room for emergency cesarean section for suspected placenta previa. She was identified then hemoperitoneum with bulky retroperitoneal hematoma on the right side.

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Author Biographies

Renan Giffoni Rodrigues, UFMG (Faculdade de Medicina)

Acadêmico de Medicina

Eric Levi Oliveira Lucas, UFMG (Faculdade de Medicina)

Acadêmico de Medicina

André Luiz Bressan Moreira Pereira, UFMG (Faculdade de Medicina)

Acadêmico de Medicina

Alfredo Lima Filho, Faculdade de Medicina (UFMG)

Residente de Cirurgia Geral no Hospital das Clínicas da Universidade Federal de Minas Gerais

Marcus Vinícius Capanema Gonçalves, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Médico Hospital Risoleta Tolentino Neves

Lucas Figueredo Cardoso, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Médico Residente do Hospital Risoleta Tolentino Neves/Fundep/UFMG

Paulo Vinícus Alves Lopes, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Residente de Cirurgia Geral no Hospital das Clínicas da Universidade Federal de Minas Gerais

Filipe da Silva Terra, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Residente no Hospital Risoleta Tolentino Neves.

Vivian Resende, UFMG (Faculdade de Medicina)

Professora do Departamento de Cirurgia da Faculdade de Medicina da UFMG

Carla Jorge Machado, UFMG (Faculdade de Medicina)

Professora do Departamento de Medicina Preventiva e Social da Faculdade de Medicina da UFMG

Michael Pereira Fernandes, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Médico Cirurgião do Hospital Risoleta Tolentino Neves/FUNDEP/UFMG

Vinícius Taranto Rodrigues Nunes, Faculdade de Medicina (UFMG)

Médico Cirugião do Hospital das Clínicas da UFMG

Mario Pastore Neto, Hospital Risoleta Tolentino Neves/Fundep/UFMG

Médico Cirurgião do Hospital Risoleta Tolentino Neves/FUNDEP/UFMG

References

Lin YY, Chen JD, How CK, Yen DH. Spontaneous perinephric hemorrhage from a hemorrhagic renal cyst. Intern Med. 2010;49(19):2189-90.

Loureiro JL, Mendonça KG, Pacheco GA, Soutinho MFL, Gustavo Álvares Presídio GA, et al.Hematoma perirrenal espontâneo em paciente lúpica submçetida a tratamento hemodialítico e portadora cistos renais adquiridos. J Bras Nefrol. 2013;35(2):162-4.

Daskalopoulos G, Karyotis I, Heretis I, Anezinis P, Mavromanolakis E, Delakas D. Spontaneous perirenal hemorrhage: a 10-year experience at our institution. Int Urol Nephrol. 2004;36(1):15-9.

Schade L, Akish DT, Aragão SC, Frandolo GA, Paiva ES. Hematoma perirrenal e envolvimento da artéria temporal em paciente com poliarterite nodosa (PAN). Rev Bras Reumatol. 2009;49(4):456-61.

Diaz JR, Agriantonis DJ, Aguila J, Calleros JE, Ayyappan AP. Spontaneousperirenal hemorrhage: what radiologists need to know. Emerg Radiol. 2011;18(4):329-34.

Edelmuth RCL,Buscariolli YS, Ribeiro Junior MAF. Cirurgia para controle de danos: estado atual. Rev Col Bras Cir. 2013;40(2):142-51.

Nascimento Júnior B, Scarpelini S, Rizoli S. Coagulopatia no trauma. Medicina (Ribeirão Preto). 2007;40(4):509-17.

Feres O, Parra RS. Abdômen agudo. Medicina (Ribeirão Preto). 2008;41(4):430-6.

Hellmund A, Meyer C, Fingerhut D, Müller SC, Merz WM, Gembruch U. Rupture ofrenal artery aneurysm during late pregnancy: clinical features and diagnosis. Arch Gynecol Obstet. 2016;293(3):505-8.

Murta EFC, Tiveron FS, Barcelos ACM, Manfrin A. Análise retrospectiva de 287 casos de abdome agudo em ginecologia e obstetrícia. Rev Col Bras Cir. 2001;28(1):44-7.

Oliveira MAP, Melki LAH, Tavares RCS. Abdome agudo ginecológico. Rev HUPE [Internet]. 2009;8(1):81-8.

Beaumont-Caminos C, Jean-Louis C, Belzunegui-Otano T, Fenández-Esain B, Martínez-Jarauta J, García-Sanchotena JL. Wünderlichsyndrome: anunusual cause offlankpain. Am J Emerg Med. 2011;29(4):474.e1-3.

Published

2017-01-23

How to Cite

1.
Rodrigues RG, Lucas ELO, Pereira ALBM, Lima Filho A, Gonçalves MVC, Cardoso LF, Lopes PVA, Terra F da S, Resende V, Machado CJ, Fernandes MP, Nunes VTR, Pastore Neto M. Spontaneous renal vein rupture in pregnant woman: a case report. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2017Jan.23 [cited 2024Dec.20];18(4):228-30. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/26449

Issue

Section

Case Report