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BMJ Case Reports 2018; doi:10.1136/bcr-2017-222737
  • Unusual presentation of more common disease/injury
  • CASE REPORT

Acute haemorrhage from a retroperitoneal liposarcoma: a rare presentation

  1. Ahmed Qteishat
  1. Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK
  1. Correspondence to Mr Nick Simson, njsimson{at}gmail.com
  • Accepted 26 January 2018
  • Published 8 February 2018

Summary

A previously healthy 61-year-old Caucasian woman presented to the emergency department after collapsing at home with associated abdominal pain radiating to her back. An urgent CT angiogram was requested to rule out a ruptured aortic aneurysm. This showed a large 21 cm fat-containing lesion arising from the mid-pole of the left kidney, with an adjacent 4 cm perirenal haematoma. An initial diagnosis of a ruptured angiomyolipoma was made. Her haemoglobin was 105 g/L, with a creatinine of 104 mmol/L and an eGFR of 47 mL/min. Her clotting profile was normal. Following resuscitation, she was taken to the operating room and underwent an emergency open left radical nephrectomy via a left flank incision. Her recovery was uneventful and she was discharged home after 6 days. The histopathology confirmed a well-differentiated liposarcoma.

Footnotes

  • Contributors MAS was one of the consultants looking after the patient. He was integral in editing the case report and planning of the report. NS was the SHO in the treating team. He wrote the abstract and a large proportion of the case. OO-N was the registrar of the treating team. He gave important input into the report, specifically in getting radiological and pathological images. AQ is the overseeing consultant, operated on the patient and is responsible for the bulk of the information in the report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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