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  • Title: [Spontaneous perirenal hematoma in a lupic patient on haemodialysis treatment and with renal cysts].
    Author: Loureiro JL, 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.
    Journal: J Bras Nefrol; 2013; 35(2):162-4. PubMed ID: 23812574.
    Abstract:
    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.
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