25 April 2024>: Articles
Management of Nontraumatic Spontaneous Renal Hemorrhage (Wünderlich Syndrome) through Robotic-Assisted Laparoscopic Nephrectomy: A Case Series
Unusual or unexpected effect of treatment, Rare disease
Boju Tao A , Haoxun Zhang B , Guoling Zhang B , Hua Liu D , Le Meng D , Xiangyu Zhu F , Xuran Ji F , Guang Jia E , Ao Qi E , Chunyang Wang A*DOI: 10.12659/AJCR.942826
Am J Case Rep 2024; 25:e942826
Table 1. Case series.
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age (y) | 48 | 53 | 45 |
Sex | Female | Female | Male |
Side | Right | Right | Left |
Symptoms | Flank pain | Flank pain, nausea | Flank pain |
Physical examination | Palpable mass with tenderness | Palpable mass with tenderness | Palpable mass with tenderness |
Preoperative transfusion | |||
RBC (unit) | None | 2 | 2 |
FP (ml) | 200 | 400 | |
Waiting time from admission to surgery (days) | 2 | 2 | 4 |
Operative time (min) | 240 | 180 | 240 |
Postoperative drainage tube removal time (days) | 2 | 3 | 3 |
Complications | None | None | None |
Pathology | AML | RCC | RCC |
LOS (days) | 6 | 7 | 10 |
Follow-up (9 months) | Cr 72.8 umol/L | Cr 84.1 umol/L | Cr 85.3 umol/L |
RBC – red blood cell; FP – frozen plasma; OT – operative time; AML – angiomyolipoma; RCC – renal cell carcinoma; LOS – length of hospital stay; Cr – creatinine. |