What does this research mean for the field?

Clear cell renal cell carcinoma can initially present as spontaneous retroperitoneal hemorrhage causing Page kidney, which can be effectively managed through a staged multidisciplinary approach of initial angioembolization followed by radical nephrectomy. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to discuss a rare presentation of spontaneous retroperitoneal hemorrhage associated with Page kidney due to clear cell renal cell carcinoma.

June 27, 2026CureusOpen Access

Spontaneous Retroperitoneal Hemorrhage Causing Page Kidney as the Initial Presentation of Clear Cell Renal Cell Carcinoma

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The aim is to discuss a rare presentation of spontaneous retroperitoneal hemorrhage associated with Page kidney due to clear cell renal cell carcinoma.
Reported a case of a 56-year-old man with acute symptoms and imaging findings of a massive retroperitoneal hematoma.
Performed emergency super-selective angioembolization to control active bleeding.
Conducted laparoscopic radical nephrectomy following persistent concerns of malignancy.
CT angiography revealed a massive left retroperitoneal hematoma and a complex renal lesion.
Histopathology confirmed clear cell renal cell carcinoma with perinephric extension (pT3a).
Patient received adjuvant pembrolizumab therapy after surgery.

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Implication

Case report highlights spontaneous retroperitoneal hemorrhage causing Page kidney in a patient with renal cancer, emphasizing vigilance for occult malignancy.

Cite This Study

Hamid et al. (2026) studied this question.

synapsesocial.com/papers/6a3f67e2aea7db3c1953f2c3 https://doi.org/10.7759/cureus.111468

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Implication

Case report highlights spontaneous retroperitoneal hemorrhage causing Page kidney in a patient with renal cancer, emphasizing vigilance for occult malignancy.

Spontaneous Retroperitoneal Hemorrhage Causing Page Kidney as the Initial Presentation of Clear Cell Renal Cell Carcinoma

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Discussion

Implication

Cite This Study

Spontaneous Retroperitoneal Hemorrhage Causing Page Kidney as the Initial Presentation of Clear Cell Renal Cell Carcinoma

Key Points

Discussion

Implication

Cite This Study

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