Acta Scientific Clinical Case Reports

Case SeriesVolume 4 Issue 6

Spontaneous Hematoma of the Renal Pelvis: Diagnostic and Therapeutic Difficulties

Nizar Cherni1, Abdallah Chaachou1, Wael Ferjaoui2*, Samir Ghozzi1 and Mohamed Dridi1

1Department of Urology, Military Hospital of Tunis, Tunisia
2Department of General surgery, Military Hospital of Tunis, Tunisia

*Corresponding Author: Wael Ferjaoui, Department of General surgery, Military Hospital of Tunis, Tunisia.

Received: April 03, 2023; Published: May 30, 2023


Introduction: Spontaneous haematomas of the kidney are rare. They pose two problems: the first is their aetiology, in which tumour pathology is dominant, and the second is their management. Through a series of 7 cases of spontaneous hematoma of the kidney, we discuss the role of imaging in the etiological diagnosis and the management of this condition.

Material and Methods: Seven cases of spontaneous kidney haematoma were managed between December 2020 and January 2023. These were 5 women and 2 men, with a mean age of 61 years.

Discussion: The first case of HSR was described in 1856 by Wunderlich, since when hundreds of cases have been reported in the literature. The clinical symptomatology varies according to the duration and extent of the bleeding. The typical clinical picture is represented by the Lenk triad: back pain, signs of bleeding and a retroperitoneal mass [3,4,7].

 Keywords: Spontaneous Haematomas; Etiology; Renal Parenchyma



  1. Wunderlich C R A. “Handbuch der pathologie und thérapie”. 2nd Stuttgart: ebnert seubert, (1856).
  2. Mantel L., et al. “Hématomes spontanés de la loge rénale: stratégie diagnostique et thérapeutique”. Progrès En Urologie 6 (1996): 409-414.
  3. H Boumdin., et al. “Hématomes spontanés sous capsulaires du rein. A propos de 6 cas”. Annales D’urologie 36 (2002): 357-360.
  4. Lallemand O Dumont. “Hématome péri rénal spontané causé par un adénome rénal”. Progrès en Urologie 12 (2002): 474-476.
  5. F Dubosq., et al. “Hématomes spontanés du rein: conduite à tenir diagnostique et thérapeutique. A propos de 7 cas”. Progrès En Urologie 14 (2004): 295-301.
  6. J Q Zhang., et al. “Etiology of spontaneous perirenal hemorrhage: a méta-analysis”. Journal of Urology 167 (2002): 1593-1596.
  7. Benchekroun M., et al. “Hématome spontané sous capsulaire du rein d’origine non tumorale (à propos de cinq cas)”. Progrès En Urologie 11 (2001): 523-527.
  8. S M Mandouni., et al. “L’embolisation artérielle dans les angiomyolipomes rénaux hémorragiques”. Progrès En Urologie 11 (2001): 235-238.

Citation: Wael Ferjaoui., et al. “Spontaneous Hematoma of the Renal Pelvis: Diagnostic and Therapeutic Difficulties". Acta Scientific Clinical Case Reports 4.6 (2023): 29-31.

Copyright: © 2023 Wael Ferjaoui., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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