[Spontaneous perirenal hematoma in a lupic patient on haemodialysis treatment and with renal cysts].

Autor: Loureiro JL; USP-Ribeirão Preto., Mendonça KG, Pacheco Gde A, Soutinho MF, Presídio GÁ, Ferreira AF, da Silva AA, da Ressurreição FM, Gouveia EA, de Oliveira CA, Medeiros MF, Bernardo RC
Jazyk: portugalština
Zdroj: Jornal brasileiro de nefrologia : 'orgao oficial de Sociedades Brasileira e Latino-Americana de Nefrologia [J Bras Nefrol] 2013 Apr-Jun; Vol. 35 (2), pp. 162-4.
DOI: 10.5935/0101-2800.20130025
Abstrakt: The spontaneous perirenal hemorrhage usually presents as sudden pain in the side ipsilateral, no history of trauma. Acquired cystic kidney disease is a common finding in chronic hemodialysis patients. However, spontaneous bleeding from the rupture of the cyst is a rare clinical entity. We describe the case of a female patient, 45 years old, with controlled hypertension for 8 years, chronic renal failure for 15 years and lupus nephritis 2 years ago, undergoing hemodialysis three times a week since 2006, and who presented concurrently acquired cystic kidney disease. She was admitted to the emergency department complaining of sudden onset of pain in the thoraco-abdominal left. Perirenal hematoma was diagnosed by ultrasound and computed tomography of the abdomen. The patient underwent embolization of left renal artery, with good evolution.
Databáze: MEDLINE