Spontaneous Subcapsular Renal Hematoma as Cause of Hypovolemic Shock in a Chronic Hemodialysis Patient.

Case Reports in Radiology Pub Date : 2023-09-11 eCollection Date: 2023-01-01 DOI:10.1155/2023/5570992
Jorge Luis Bermudez-Gonzalez, Bethsabel Rodríguez-Encinas, Ángel Miguel Beverido-Florido, Jesús Alejandro Gabutti-Thomas
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Abstract

Subcapsular renal hematomas may appear spontaneously in patients in chronic hemodialysis, though other causes as neoplasms, vasculitis, and infections should be excluded. Patients may present with abdominal pain and hemorrhagic shock; hence, early diagnosis is vital. Nephrectomy or renal artery embolization are suitable treatment options.

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慢性血液透析患者自发性肾包膜下血肿引起低血容量性休克。
慢性血液透析患者可能自发出现肾包膜下血肿,但应排除肿瘤、血管炎和感染等其他原因。患者可能表现为腹痛和失血性休克;因此,早期诊断至关重要。肾切除术或肾动脉栓塞是合适的治疗选择。
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