SynthesisInternational urology and nephrology2017
Changing etiology and management patterns for spontaneous renal hemorrhage: a systematic review of contemporary series.
Synthesis in International urology and nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Case report: Spontaneous renal hemorrhage in anti-neutrophil cytoplasmic antibody-associated vasculitis.Frontiers in immunology · 2025Pooled it
- Wunderlich syndrome in a hypertensive male with multiple renal arteries: a rare case report.International journal of surgery case reports · 2026Article
- Article
- Rare Case of Delayed Bleeding Occurring 8 Years After Percutaneous Nephrolithotomy and Angioembolization: A Case Report and Current Literature Review.Reports (MDPI) · 2026Article
- Spontaneous Renal Hemorrhage Secondary to Acute Pyelonephritis: An Unusual Presentation of Wunderlich Syndrome.Cureus · 2026Article
- Spontaneous Perirenal Hemorrhage Mimicking Renal Rupture in a Long-Term Hemodialysis Patient: A Case Report.Clinical case reports · 2026Article
- A Patient with Diabetes Mellitus and Hypertension Presenting with Left Flank Pain and Hypotension.Kidney360 · 2026Article
- Duodenal perforation after retroperitoneal laparoscopic radical nephrectomy for ruptured malignant renal PEComa with spontaneous retroperitoneal hemorrhage: a case report.Frontiers in oncology · 2026Article
- Idiopathic Atraumatic Renal Hemorrhage: Case Report.Clinical practice and cases in emergency medicine · 2025Article
- Article
- Novel risk predictor of spontaneous rupture and hemorrhage of renal cell carcinoma based on clinical and radiographic characteristics.World journal of urology · 2025Article
- Revisiting angiomyolipomas: The significance of a rich blood supply on imaging for risk-adapted decision making.Investigative and clinical urology · 2025Article
- Management of spontaneous subscapular renal hemorrhage: A multidisciplinary and hybrid approach to Wunderlich syndrome.Radiology case reports · 2025Article
- Diagnosis of Hereditary Leiomyomatosis and Renal Cell Cancer After Subcapsular Renal Hematoma.IJU case reports · 2025Article
- Renal bleeding: imaging and interventions in patients with tumors.Diagnostic and interventional radiology (Ankara, Turkey) · 2025Review
- Analysis of 46 Cases of Spontaneous Perirenal Hemorrhage: A Retrospective Observational Study.Journal of clinical medicine · 2025Article
- Renal angiomyolipoma-investigating radiological signs indicative of risk for bleeding.Insights into imaging · 2025Article
- Clinical features and prognostic analysis of spontaneous rupture of renal cell carcinoma: a retrospective cohort study.Frontiers in oncology · 2025Article
- Wunderlich Syndrome Triggered by Deadlifting: A Rare Case Report of Spontaneous Renal Haemorrhage.Case reports in urology · 2025Article
- Spontaneous renal subcapsular fluid accumulation with hemorrhage due to ureteral stone: a case report and literature review.Frontiers in surgery · 2025Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo conduct a systematic literature review on spontaneous renal hemorrhage (SRH) in a contemporary cohort describing patterns in etiology and treatment.
methodsA systematic search of MEDLINE and CENTRAL databases was conducted to include articles, including case reports and case series on SRH published from 2000 to 2016. Full-text manuscripts were reviewed for clinical parameters which were collated and analyzed with univariate methods.
resultsSeventy-nine publications met inclusion criteria, reporting on 102 cases. Renal neoplasms (56.9%) and polyarteritis nodosa (PAN) (11.8%) remained as the most common overall and vascular causes of SRH, respectively. Angiomyolipoma (AML) was the most common causative renal neoplasm (74.1%), and patients were more likely to be female and present with macroscopic hematuria than those with vasculitis, while malignant neoplasms were more common in men. Proportions of SRH due to malignant neoplasms (specifically renal cell carcinoma, RCC) were reported less than PAN. Among this contemporary series, transarterial embolization (TAE) was most commonly used for acute SRH (42.2%).
conclusionsRenal neoplasms remain as the most common cause of SRH, of which AML predominates, while PAN is currently the second most common etiology in acute SRH, replacing RCC. Minimally invasive approaches, such as TAE and conservative/medical management, were preferred to initial surgery. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number CRD42017069222.
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