DOI: 10.12890/2023_003749

Spontaneous renal hemorrhage

Authors

  • João Luís Cavaco Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Francisco Capinha Department of Gastroenterology, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Maria José Pires Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal
  • Ana Furão Rodrigues Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisboa, Portugal
  • Ana Oliveira Pedro Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisboa, Portugal
  • António Pais de Lacerda Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisboa, Portugal

joaocavaco@fm.ul.pt

Keywords

Spontaneous renal haemorrhage, renal haematoma, Lenk’s triad

Abstract

Introduction: Spontaneous renal haemorrhage is a rare condition with potentially serious complications.

Case description: We describe a 76-year-old woman with a 3-day history of fever and malaise, with no associated trauma. She was admitted to our emergency room with signs of shock. A contrast-enhanced computed tomography scan revealed an extensive right kidney haematoma. Despite fast surgical management, the patient died less than 24 h after admission.

Conclusion: Spontaneous renal haemorrhage should be quickly identified due to its fatal complications. Early diagnosis leads to a better prognosis.

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References

  1. Dangle P, Pandya L, Chehval M. Idiopathic non-traumatic spontaneous renal hemorrhage/laceration: a case report and review of the literature. W V Med J 2012;108:24–26. PMID: 23472538.
  2. Ahn T, Roberts MJ, Navaratnam A, Chung E, Wood S. Changing etiology and management patterns for spontaneous renal hemorrhage: a systematic review of contemporary series. Int Urol Nephrol 2017;49:1897–1905. doi: 10.1007/s11255-017-1694-8. PMID: 28871505
  3. Elbaset MA, Zahran MH, El-Baz R, Badawy M, Osman Y. Spontaneous renal hemorrhage: critical analysis of different lines of management in non-traumatic patients: a single tertiary center experience. Int Urol Nephrol 2020;52:423–429. doi: 10.1007/s11255-019-02333-9. PMID: 31686280.

Published

2023-02-28

Issue

Vol. 10 No. 2 (2023)

Categories

How to Cite

1.
Cavaco JL, Capinha F, Pires MJ, Furão Rodrigues A, Oliveira Pedro A, Pais de Lacerda A. Spontaneous renal hemorrhage. EJCRIM [Internet]. 2023 Feb. 28 [cited 2026 Nov. 4];10(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3749

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