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• W145559360 abstract "No AccessJournal of Urology1 Mar 1991Spontaneous Perinephric Hemorrhage: Imaging and Management Ronald J. Zagoria, Raymond B. Dyer, Dean G. Assimos, Eric S. Scharling, and Stephen F. Quinn Ronald J. ZagoriaRonald J. Zagoria More articles by this author , Raymond B. DyerRaymond B. Dyer More articles by this author , Dean G. AssimosDean G. Assimos More articles by this author , Eric S. ScharlingEric S. Scharling More articles by this author , and Stephen F. QuinnStephen F. Quinn More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38370-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We report on 10 patients with spontaneous perinephric hemorrhage associated with underlying disease, including renal cell carcinoma (5), angiomyolipoma (2), malignant melanoma (1), periarteritis nodosa (1) and severe portal hypertension (1). The etiology could not be identified with computerized tomography (CT) in 5 cases (50%), including 2 renal cell carcinomas, 1 angiomyolipoma, 1 periarteritis nodosa and 1 portal hypertension. Arteriography demonstrated underlying lesions in 4 of these 5 cases (80%) including the case of vasculitis. CT combined with magnetic resonance imaging is accurate for the diagnosis of spontaneous perinephric hemorrhage but the underlying pathological condition is often undetectable in the acute phase due to the perinephric blood. CT should be the first study performed if this diagnosis is suspected. Arteriography is recommended if a renal mass is not detected. If a mass is not identified with these 2 imaging studies and the patient is clinically stable, followup thin slice CT should be performed. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byQing Zhang J, Fielding J and Zou K (2018) Etiology Of Spontaneous Perirenal Hemorrhage: A Meta-AnalysisJournal of Urology, VOL. 167, NO. 4, (1593-1596), Online publication date: 1-Apr-2002.Srinivasan V, Turner A and Blackford H (2018) Massive Intraperitoneal Hemorrhage Associated with Renal PathologyJournal of Urology, VOL. 151, NO. 4, (980-981), Online publication date: 1-Apr-1994. Volume 145Issue 3March 1991Page: 468-471 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordskidneyarteriographyhemorrhagetomography, x-ray computedmagnetic resonance imagingMetricsAuthor Information Ronald J. Zagoria More articles by this author Raymond B. Dyer More articles by this author Dean G. Assimos More articles by this author Eric S. Scharling More articles by this author Stephen F. Quinn More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W145559360 title "Spontaneous Perinephric Hemorrhage: Imaging and Management" @default.
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