Mukamel E, Nissenkorn I, Avidor I, Servadio C
J Urol. 1979 Nov;122(5):696-8. doi: 10.1016/s0022-5347(17)56562-3.
We report on 3 patients who presented with an acute onset of abdominal pain, a palpable abdominal mass and a rapid decrease in hemoglobin. In 2 patients a spontaneously ruptured hypernephroma was found and the other patient had a squamous cell carcinoma of the ureter with bleeding into the tumor. Although in all 3 cases the tumors were at an advanced stage of development, the patients had been entirely free of urological symptoms until shortly before hospitalization. The importance of considering the possibility of spontaneous rupture of such a tumor in the evaluation of cases of an acute abdomen is stressed.
我们报告了3例患者，他们均急性起病，伴有腹痛、可触及的腹部肿块以及血红蛋白快速下降。其中2例患者发现为自发性破裂的肾上腺肿瘤，另一例患者为输尿管鳞状细胞癌伴肿瘤内出血。尽管所有3例患者的肿瘤均处于晚期，但在住院前不久他们一直完全没有泌尿系统症状。强调了在评估急腹症病例时考虑此类肿瘤自发性破裂可能性的重要性。
