1/13. Clinics in diagnostic imaging (38). Post-ESWL perinephric haematoma.A 57-year-old man presented with urosepsis related to urinary calculi. He underwent multiple sessions of ESWL and developed a perinephric haematoma that was treated conservatively and monitored by serial imaging. However, the haematoma became infected, necessitating percutaneous drainage 2 months after the initial ESWL. The risk factors and sequelae of post-ESWL perinephric haematoma, as well as its diagnosis and imaging, are discussed.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/13. Spontaneous subcapsular renal haemorrhage presenting with pleuritic chest pain.We present an unusual case of spontaneous renal subcapsular haematoma in a normal kidney presenting with pleuritic chest pain and mimicking pulmonary embolism. The literature suggests that the majority of these cases occur in association with renal tumours and that the diagnosis can best be made by computed tomographic scanning. Treatment is expectant but because of the high incidence of tumours, nephrectomy is usually necessary.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
3/13. Late presenting, intrarenal haematoma as a complication of renal biopsy.An intrarenal haematoma, necessitating surgical evacuation, is described as a novel, late presenting, complication of percutaneous renal biopsy in a patient with amyloid disease.- - - - - - - - - - ranking = 0.71428571428571keywords = haematoma (Clic here for more details about this article) |
4/13. systemic vasculitis with bilateral perirenal haemorrhage in chronic myelomonocytic leukaemia.The cases of two patients with chronic myelomonocytic leukaemia associated with periarteritis nodosa-like, antineutrophil cytoplasmic antibody negative, systemic vasculitis, are reported. A 61 year old man was admitted with fever, diffuse myalgia, and abdominal pain. blood and bone marrow examination showed chronic myelomonocytic leukaemia. Vasculitis of the gall bladder was responsible for acalculous cholecystitis. A massive spontaneous bilateral perirenal haemorrhage occurred. A 73 year old woman with chronic myelomonocytic leukaemia had been followed up for one year when unexplained fever occurred. Two months after the onset of fever, sudden abdominal pain was ascribed to spontaneous bilateral renal haematoma related to bilateral renal arterial aneurysms. Neuromuscular biopsy showed non-necrotising periarteriolar inflammation. To our knowledge, systemic vasculitis has never been reported in chronic myelomonocytic leukaemia. In our two cases a non-random association is suggested because (a) chronic myelomonocytic leukaemia is a rare myelodysplastic syndrome, (b) spontaneous bilateral perirenal haematoma is not a usual feature of periarteritis nodosa.- - - - - - - - - - ranking = 0.28571428571429keywords = haematoma (Clic here for more details about this article) |
5/13. Spontaneous regression of bilateral surrenal haematoma and subclinical hypoaldosteronism in a patient with renal amyloidosis secondary to familial mediterranean fever.This report describes a patient with familial mediterranean fever (FMF) associated with renal amyloidosis, bilaretal surrenal haematomas and hypoaldosteronism which was clinically asymptomatic. The deposition of AA amyloide was found on the renal and bone marrow biopsies. Bilateral surrenal haematoma regressed after six month from the first events. colchicine therapy controlled the attacks of the disease.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
6/13. Massive peri-renal haemorrhage from ruptured renal artery aneurysm in the presence of normal renal function.A 65-year-old man presented acutely with a large right peri-nephric haematoma as seen on a CT scan. Intravenous urography demonstrated normal function. An arteriogram later revealed a 1 cm renal artery tributary aneurysm, which was successfully embolized.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
7/13. Renal infarction secondary to a subcapsular haematoma following percutaneous renal biopsy.We present the case of post-biopsy subcapsular haematoma leading to infarction of the kidney. This is a very uncommon complication of percutaneous renal biopsy. The radiological findings in this case are shown, highlighting the sonographic finding of the renal interlobar arteries having reversed flow in diastole in connection with very high resistance because of compression by a subcapsular haematoma. Although reversed diastolic flow has been well described in renal vein thrombosis, we know of no case report of this finding in association with severe ischaemia of the kidney due to tamponade.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
8/13. Spontaneous perirenal haematoma due to polyarteritis nodosa.polyarteritis nodosa (PAN) is a systemic disease which involves the kidneys in 70% of cases. We report a case in which the pre-operative diagnosis was perirenal abscess or perirenal tumour, but at operation a perirenal haematoma was found. After pathological examination, it was recognised as renal involvement with PAN. The diagnosis of PAN is often difficult. Renal arterial changes, including aneurysm formation, are frequent. Since Kussmaul and Maier first described PAN in 1866, diagnosis has remained difficult because it is based upon tissue examination obtained at biopsy or post-mortem. In this report we present a case of renal involvement of PAN resulting in a perirenal haematoma due to spontaneous rupture of intrarenal arterial aneurysms.- - - - - - - - - - ranking = 0.85714285714286keywords = haematoma (Clic here for more details about this article) |
9/13. Perirenal and renal subcapsular haematoma as presenting symptoms of polyarteritis nodosa.Two young men, were hospitalized due to acute massive blood loss with left abdominal flank pain. In both cases renal angiography showed signs of a haemorrhagic event in the left kidney, perirenal in one and subcapsular in the other. Microaneurysms indicated a diagnosis of polyarteritis nodosa, supported by renal biopsy in one case. Renal haemorrhage is an infrequent presentation of polyarteritis nodosa. Furthermore, one patient suffered also from familial mediterranean fever, and is the fifth reported case with this combination of diseases.- - - - - - - - - - ranking = 0.57142857142857keywords = haematoma (Clic here for more details about this article) |
10/13. Bilateral kidney rupture with severe retroperitoneal bleeding in polyarteritis nodosa.A patient is described with nontraumatic subcapsular haematomas of both kidneys, complicated by severe retroperitoneal bleeding. A diagnosis of polyarteritis nodosa was reached using renal angiography. Bilateral nephrectomy had to be performed because of uncontrollable renal bleeding. A review of the literature on this complication of polyarteritis nodosa is given.- - - - - - - - - - ranking = 0.14285714285714keywords = haematoma (Clic here for more details about this article) |
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