Abstract
Massive hemoperitoneum due to spontaneous rupture of renal cell carcinoma is a rare presentation during emergency laparotomy. A 60-year-old female patient presented with severe abdominal pain, nausea, vomiting and abdominal distension. A massive hemoperitoneum secondary to ruptured left kidney tumor was found during laparotomy. Histology confirmed a papillary renal cell carcinoma. Ruptured renal cell carcinoma can be a cause of bleeding into the retroperitoneum space. Emergency sonography and laparotomy are advocated for its management.
 Keywords: Renal cell carcinoma, Rupture, Complex mass, Nephrectomy, Papillary
Highlights
While post-traumatic retroperitoneal hemorrhage of renal cell carcinoma has previously been described, but cases of intraperitoneal atraumatic rupture of renal cell carcinoma are very few
Intraperitoneal or retroperitoneal renal rupture is secondary to trauma, and atraumatic renal rupture associated with a hemorrhage is associated with pre-existing diseases of the renal parenchyma such as vascular abnormality, infection, hydronephrosis, coagulopathy, and renal neoplasms [2]
Literature shows that 60% of spontaneous renal bleeding cases are associated with a renal tumor
Summary
Summary Massive hemoperitoneum due to spontaneous rupture of renal cell carcinoma is a rare presentation during emergency laparotomy. A 60-year-old female patient presented with severe abdominal pain, nausea, vomiting and abdominal distension. A massive hemoperitoneum secondary to ruptured left kidney tumor was found during laparotomy. Histology confirmed a papillary renal cell carcinoma. Ruptured renal cell carcinoma can be a cause of bleeding into the retroperitoneum space. Emergency sonography and laparotomy are advocated for its management
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