Spontaneous subcapsular renal hematoma as a cause of acute abdominal pain - a case report
Keywords:
spontaneous subcapsular renal hematoma, abdominal pain, hypertension, computed tomography
Abstract
Spontaneous subcapsular renal hematoma (SSRH) is a potential cause of acute abdominal pain that does not represent a significant part in the etiology of acute abdominal pain. We present the case of a 69-year-old female patient who came to the surgical outpatient clinic because of sudden pain in the abdomen, predominantly right lumbar side. Ultrasonography revealed a heterogeneous change on the contour of the right kidney, and the diagnosis of subcapsular hematoma was confirmed by abdominal computed tomography (CT) scan. The cause of the hematoma could not be determined either by history (the patient mentions only arterial hypertension), or by laboratory or CT examination.
References
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11. Adam A, Dixon AK, Gillard JH, Schaefer-Prokop C. Grainger & Allison's Diagnostic Radiology. 7th ed. Elsevier, 2021.
12. Singh V, Jayaram S, Kumar DBR. Spontaneous subcapsular renal haematoma: a case report. J Clin Diagn Res 2017; 11(8):PD13-PD14.
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2. Baishya RK, Dhawan DR, Sabnis RB, Desai MR. Spontaneous subcapsular renal hematoma: A case report and review of literature. Urology Annals 2011; 3(1):44-6.
3. Lee TW, Bae W, Choi J, Bae E, Jang HN, Chang S-H, et al. Page kidney following spontaneous subcapsular hematoma immediately after kidney transplantation: a case report. BMC Nephrol 2022; 23(1):239.
4. Kendall AR, Senay BA, Coll ME. Spontaneous subcapsular renal hematoma: diagnosis and management. Case Reports 1988; 139(2):246-50.
5. Bajaj T, Trang N, Nasrawi F, Eppanapally S. A rare case of spontaneous bilateral subcapsular renal hematoma. J Investig Med High Impact Case Rep 2020; 8:2324709620918098.
6. Jankovic I, Nikolic T, Mitrovic S, Vojinovic R. Spontaneous subcapsular renal hematoma as a complication of acute pyelonephritis: a case report. Ser J Exp Clin Res 2017; 18(4):357-9.
7. Greco M, Butticè S, Benedetto F, Spinelli F, Traxer O, Tefik T, et al. Spontaneous subcapsular renal hematoma: strange case in an anticoagulated patient with HWMH after aortic and iliac endovascular stenting procedure. Case Rep Urol 2016; 2016:2573476.
8. Javid A, Kazemi R, Dehghani M, Samani HB. Catastrophic retroperitoneal hemorrhage in COVID-19 patients under anticoagulant prophylaxis. Urol Case Rep 2021; 36:101568.
9. Bermudez-Gonzalez JL, Rodriguez-Encinas B, Beverido-Florido AM, Gabutti-Thomas JA. Spontaneous subcapsular renal hematoma as cause of hypovolemic shock in a chronic hemodialysis patient. Case Rep Radiol 2023; 2023:5570992.
10. Cappellani D, Terrenzio C, Gianetti E, Baronti W, Borrelli V, Marselli L, et al. Subcapsular renal hematoma in simultaneous pancreas kidney transplantation. Case Rep Transplant 2020; 2020:6152035.
11. Adam A, Dixon AK, Gillard JH, Schaefer-Prokop C. Grainger & Allison's Diagnostic Radiology. 7th ed. Elsevier, 2021.
12. Singh V, Jayaram S, Kumar DBR. Spontaneous subcapsular renal haematoma: a case report. J Clin Diagn Res 2017; 11(8):PD13-PD14.
13. Eid MM, Jaiganesh T. Spontaneous renal subcapsular hematoma; a case report and reviewing management options. Front Emerg Med 2022; 6(4):e57.