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  • Title: Spontaneous bilateral rupture of kidneys in a patient with polyarteritis nodosa. A case report.
    Author: San A, Aydin NE, Akçay G, Selçuk Y, Okyar G.
    Journal: Scand J Urol Nephrol; 1990; 24(4):319-21. PubMed ID: 1980378.
    Abstract:
    A previously well 42-year-old man presented with a three-hour history of pain in the right flank of acute onset. At laparotomy he was found to have a ruptured right kidney which was treated by nephrectomy. Eight days later he developed similar symptoms on the left: at operation 21 of blood were drained and nephrostomy and catheterisation carried out. He recovered after a complicated postoperative course, and histological examination of the removed kidney, and biopsy specimens, showed classic polyarteritis nodosa. This is a rare cause of spontaneous rupture of the kidney but must be considered whenever a patient presents with renal haemorrhage of unknown cause.
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