ABSTRACT
OBJECTIVE: To report a case of GIST type retroperitoneal tumor with spontaneous rupture to the abdominal cavity causing acute abdomen secondary to hemoperitoneum. METHODS/RESULTS: We report the case of an 84 year-old man with history of BPH and chronic atrial fibrillation. He presented to the Emergency Department with diffuse abdominal pain, syncope and accompanying vegetative symptoms. Diagnostic work up showed a 19 cm retroperitoneal mass dependent of the left kidney with active bleeding and secondary hemoperitoneum. Left radical nephrectomy was performed with pathology report of gastrointestinal stromal tumor attached to the renal capsule. CONCLUSIONS: Spontaneous hemoperitoneum is a rare entity and it has various etiologies. It is rarely described in retroperitoneal tumors.
Subject(s)
Gastrointestinal Stromal Tumors/complications , Hemoperitoneum/etiology , Kidney Neoplasms/complications , Retroperitoneal Neoplasms/complications , Aged, 80 and over , Gastrointestinal Stromal Tumors/diagnostic imaging , Gastrointestinal Stromal Tumors/surgery , Hemoperitoneum/therapy , Humans , Kidney Neoplasms/diagnostic imaging , Kidney Neoplasms/surgery , Male , Radiography , Retroperitoneal Neoplasms/diagnostic imaging , Retroperitoneal Neoplasms/surgery , Rupture, SpontaneousSubject(s)
Aortic Aneurysm, Thoracic/diagnostic imaging , Hematoma/diagnostic imaging , Kidney Diseases/diagnostic imaging , Thrombosis/diagnostic imaging , Aged , Anticoagulants/therapeutic use , Aorta, Thoracic/diagnostic imaging , Cysts/diagnostic imaging , Humans , Kidney Diseases/drug therapy , Male , Thrombosis/drug therapy , Tomography, X-Ray ComputedABSTRACT
OBJETIVO: Describimos un caso de tumor retroperitoneal tipo GIST con rotura espontánea a cavidad abdominal, ocasionando un cuadro de abdomen agudo secundario a hemoperitoneo. MÉTODO Y RESULTADOS: Varón de 84 años que acude a servicio de Urgencias de nuestro hospital por cuadro sincopal, con dolor abdominal difuso y cortejo vegetativo acompañante. Tras la realización de diferentes pruebas complementarias se objetiva una masa retroperitoneal de pendiente de riñón izquierdo de unos 19 cm con sangrado activo y hemoperitoneo secundario, por lo que se realiza una nefrectomía radical izquierda con resultado anatomopatológico de tumor estromal gastrointestinal dependiente de la capsula renal. CONCLUSIONES: El hemoperitoneo espontáneo es una entidad poco frecuente y de una etiología variada estando descrita en muy raras ocasiones en tumores retroperitoneales
OBJECTIVE: To report a case of GIST type retroperitoneal tumor with spontaneous rupture to the abdominal cavity causing acute abdomen secondary to hemoperitoneum. METHODS/RESULTS: We report the case of an 84 year-old man with history of BPH and chronic atrial fibrillation. He presented to the Emergency Department with diffuse abdominal pain, syncope and accompanying vegetative symptoms. Diagnostic work up showed a 19 cm retroperitoneal mass dependent of the left kidney with active bleeding and secondary hemoperitoneum. Left radical nephrectomy was performed with pathology report of gastrointestinal stromal tumor attached to the renal capsule. CONCLUSIONS: Spontaneous hemoperitoneum is a rare entity and it has various etiologies. It is rarely described in retroperitoneal tumors
Subject(s)
Humans , Hemoperitoneum/etiology , Retroperitoneal Neoplasms/complications , Rupture, Spontaneous/complications , Risk FactorsABSTRACT
No disponible
Subject(s)
Humans , Hematoma/etiology , Aortic Aneurysm, Thoracic/complications , Aortic Aneurysm, Abdominal/complications , Bowman Capsule/physiopathology , Drug-Eluting Stents , Endovascular ProceduresSubject(s)
Lithiasis/etiology , Urinary Bladder/surgery , Urinary Reservoirs, Continent , Urologic Surgical Procedures/methods , Aged , Constriction, Pathologic , Cystectomy , Humans , Lithiasis/diagnostic imaging , Male , Postoperative Complications/diagnostic imaging , Radiography , Ureter/surgeryABSTRACT
No disponible