Spontaneous retroperitoneal hemorrhage caused by segmental arterial mediolysis.

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.

[1]  K. Endo,et al.  Non-marfan idiopathic medionecrosis (cystic medial necrosis) presenting with multiple visceral artery aneurysms and diffuse connective tissue fragility: Two brothers , 1997, CardioVascular and Interventional Radiology.

[2]  Y. Ogawa,et al.  Simultaneous bilateral perirenal hematomas developing spontaneously in a patient with polyarteritis nodosa. , 1999, The Journal of urology.

[3]  M. Appetecchia,et al.  Bilateral Symptomatic Adrenal Myelolipoma , 1999, Urologia Internationalis.

[4]  G. Jakse,et al.  Spontaneous retroperitoneal haemorrhage associated with renal disease. , 1998, Journal of the Royal College of Surgeons of Edinburgh.

[5]  H. Ueno,et al.  Segmental arterial mediolysis studied by repeated angiography. , 1997, The British journal of radiology.

[6]  K. Koh,et al.  Radiological parameters of bleeding renal angiomyolipoma. , 1996, Scandinavian journal of urology and nephrology.

[7]  R. Hye,et al.  Ruptured renal artery aneurysm during pregnancy , 1996, Annals of vascular surgery.

[8]  O. Catalano.  Retroperitoneal Hemorrhage Due to a Ruptured Adrenal Myelolipoma , 1996, Acta radiologica.

[9]  K. Hayashi,et al.  Ruptured renal artery aneurysm due to Behçet's disease , 1996, Abdominal Imaging.

[10]  A. L. Patterson,et al.  Spontaneous retroperitoneal hemorrhage from a giant adrenal myelolipoma. , 1996, The Journal of urology.

[11]  O. Oymak,et al.  Spontaneous perirenal hematoma as a rare complication of polyarteritis nodosa. , 1995, Nephron.

[12]  S. Verhoef,et al.  The evolution of renal angiomyolipomas in patients with tuberous sclerosis. , 1994, The Journal of urology.

[13]  H. Leu.  Cerebrovascular accidents resulting from segmental mediolytic arteriopathy of the cerebral arteries in young adults. , 1994, Cardiovascular surgery.

[14]  N. R. Dunnick.  Spontaneous perinephric hemorrhage: imaging and management. , 1993, Investigative radiology.

[15]  D. Donovan,et al.  Segmental mediolytic arteritis involving hepatic arteries. , 1992, Archives of pathology & laboratory medicine.

[16]  K. Johnston,et al.  Intraabdominal hemorrhage as a result of segmental mediolytic arteritis of an omental artery: case report. , 1990, Journal of vascular surgery.

[17]  J. Richie,et al.  Rational approach to evaluation and management of spontaneous perirenal hemorrhage. , 1990, Surgery, gynecology & obstetrics.

[18]  R. Slavin,et al.  Segmental Mediolytic Arteritis: A Clinicopathologic and Ultrastructural Study of Two Cases , 1989, The American journal of surgical pathology.

[19]  T. Terachi,et al.  Spontaneous rupture of adrenal pheochromocytoma: a case report. , 1989, Urologia internationalis.

[20]  A. R. Kendall,et al.  Spontaneous subcapsular renal hematoma: diagnosis and management. , 1988, The Journal of urology.

[21]  San-Kan Lee,et al.  Spontaneous retroperitoneal hemorrhage from kidney causes. , 1988, European urology.

[22]  E. Fishman,et al.  The management of renal angiomyolipoma. , 1986, The Journal of urology.

[23]  D. de Sa.  Coronary arterial lesions and myocardial necrosis in stillbirths and infants. , 1979, Archives of disease in childhood.

[24]  A. Bonacarti,et al.  Spontaneous retroperitoneal hemorrhage from a ruptured hypernephroma , 1979, Journal of surgical oncology.

[25]  J. Kaneti,et al.  Spontaneous perirenal hematoma: a complication of polyarteritis nodosa. , 1979, The Journal of urology.

[26]  N. P. Patel,et al.  Renal cell carcinoma: natural history and results of treatment. , 1978, The Journal of urology.

[27]  J. Gonzalez‐Vitale,et al.  Segmental mediolytic arteritis: a clinical pathologic study. , 1976, Laboratory investigation; a journal of technical methods and pathology.

[28]  E. Kursh,et al.  Spontaneous rupture of the kidney with perirenal hematoma. , 1975, The Journal of urology.

[29]  C. Lynne,et al.  Spontaneous rupture of the kidney secondary to polyarteritis nodosa. , 1975, The Journal of urology.

[30]  R. Colvin,et al.  Diagnosis and management of renal cell carcinoma A clinical and pathologic study of 309 cases , 1971, Cancer.

[31]  J. Wilson,et al.  Spontaneous retroperitoneal hemorrhage associated with hypernephroma. , 1967, The Journal of urology.

[32]  P. Gruenwald.  Necrosis in the coronary arteries of newborn infants. , 1949, American heart journal.

[33]  Hugh J. Polkey,et al.  SPONTANEOUS NONTRAUMATIC PERIRENAL AND RENAL HEMATOMAS: AN EXPERIMENTAL AND CLINICAL STUDY , 1933 .