Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?

Spontaneous rapture with consequent retroperitoneal hemorrhage (Wunderlich’s syndrome) is the complication mostly feared from large renal angiomyolipomas (RAMLs). In hemodynamic stable patients, minimal invasive therapies have superseded open surgery as the mainstay of treatment, with contemporary c...

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Main Authors:	Achilles Ploumidis, Ioannis Katafigiotis, Maria Thanou, Nikos Bodozoglou, Labros Athanasiou, Antonios Ploumidis
Format:	Article
Language:	English
Published:	Hindawi Limited 2013-01-01
Series:	Case Reports in Urology
Online Access:	http://dx.doi.org/10.1155/2013/498694

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spelling	doaj-0fd6291d6c67493a92bcb2a6f7681c302020-11-25T00:11:25ZengHindawi LimitedCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/498694498694Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?Achilles Ploumidis0Ioannis Katafigiotis1Maria Thanou2Nikos Bodozoglou3Labros Athanasiou4Antonios Ploumidis5Department of Urology, Athens Medical Center, 15125 Athens, GreeceDepartment of Urology, Laiko General Hospital, University of Athens, 18535 Athens, GreeceDepartment of Urology, Athens Medical Center, 15125 Athens, GreeceDepartment of Urology, Athens Medical Center, 15125 Athens, GreeceDepartment of Urology, Athens Medical Center, 15125 Athens, GreeceDepartment of Urology, Athens Medical Center, 15125 Athens, GreeceSpontaneous rapture with consequent retroperitoneal hemorrhage (Wunderlich’s syndrome) is the complication mostly feared from large renal angiomyolipomas (RAMLs). In hemodynamic stable patients, minimal invasive therapies have superseded open surgery as the mainstay of treatment, with contemporary cases mostly treated by selective arterial embolization. Robotic-assisted laparoscopic partial nephrectomy (RALPN) is an established minimal access treatment that has been used in the past for benign and malignant lesions of the kidney in the elective setting, but rarely in urgent situations as primary treatment. We present a case of a ruptured RAML in a young female treated effectively by RALPN.http://dx.doi.org/10.1155/2013/498694
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Achilles Ploumidis Ioannis Katafigiotis Maria Thanou Nikos Bodozoglou Labros Athanasiou Antonios Ploumidis
spellingShingle	Achilles Ploumidis Ioannis Katafigiotis Maria Thanou Nikos Bodozoglou Labros Athanasiou Antonios Ploumidis Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment? Case Reports in Urology
author_facet	Achilles Ploumidis Ioannis Katafigiotis Maria Thanou Nikos Bodozoglou Labros Athanasiou Antonios Ploumidis
author_sort	Achilles Ploumidis
title	Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?
title_short	Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?
title_full	Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?
title_fullStr	Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?
title_full_unstemmed	Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?
title_sort	spontaneous retroperitoneal hemorrhage (wunderlich syndrome) due to large upper pole renal angiomyolipoma: does robotic-assisted laparoscopic partial nephrectomy have a role in primary treatment?
publisher	Hindawi Limited
series	Case Reports in Urology
issn	2090-696X 2090-6978
publishDate	2013-01-01
description	Spontaneous rapture with consequent retroperitoneal hemorrhage (Wunderlich’s syndrome) is the complication mostly feared from large renal angiomyolipomas (RAMLs). In hemodynamic stable patients, minimal invasive therapies have superseded open surgery as the mainstay of treatment, with contemporary cases mostly treated by selective arterial embolization. Robotic-assisted laparoscopic partial nephrectomy (RALPN) is an established minimal access treatment that has been used in the past for benign and malignant lesions of the kidney in the elective setting, but rarely in urgent situations as primary treatment. We present a case of a ruptured RAML in a young female treated effectively by RALPN.
url	http://dx.doi.org/10.1155/2013/498694
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Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?

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