RESUMO
The authors describe a rare case of spontaneous rupture of a renal liposarcoma which imitated the clinical picture of an acute abdomen. Urgent transabdominal left nephrectomy was performed. The entire lower half of the kidney was altered by the tumour and ruptured and there was an extensive perirenal and retroperitoneal haematoma. The histological finding confirmed the presence of a primary renal liposarcoma. This is the first case of spontaneous rupture of a liposarcoma of the kidneys described in our literature and the second case in the world literature. The patient survives now for eight years after operation and is in a good condition.
Assuntos
Neoplasias Renais/patologia , Lipossarcoma/patologia , Abdome Agudo/etiologia , Adulto , Feminino , Humanos , Ruptura EspontâneaRESUMO
Two cases of spontaneous rupture of the kidney manifesting as acute abdomen are described. In both cases urgent transabdominal nephrectomy was carried out. The whole distal half of the kidney was tumorous and rupture, with extensive perirenal and retroperitoneal haemorrhage. Histological findings showed in the first instance renal liposarcoma, in the second instance an atypical lipoma of the kidney. The first patient survives 4 years, the second one year, after the operation both are in a good condition.
