Biomedical subjects
Publications and source records attributed to J S Harvey.
Non-traumatic retroperitoneal haemorrhage is uncommon, and the diagnosis is often difficult. However, such bleeding is frequently renal in origin, and most commonly arises from renal neoplasia, benign or malignant. We present two cases of bleeding renal angiomyolipomata, review the literature on the subject and consider options for diagnosis and treatment.
A 29-year-old man had abdominal pain for 24 hours. This and the results of an abdominal examination were typical of acute appendicitis. He had suffered sinusitis for two weeks. At operation, the appendix was normal; there was an abscess in the cecal wall, the exudate of which grew pneumococci. Incidental appendectomy was done and the patient was treated successfully with lincomycin hydrochloride, and later, cephalexin monohydrate. It is possible that the typhlitis was secondary to the upper respiratory infection.
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