Abstract
We evaluated the CT scans of 13 patients with spontaneous subcapsular or perinephric hemorrhage (SPH) associated with these underlying causes: 4 angiomyolipomas, 2 renal cell carcinomas, 1 renal metastatic malignant melanoma, 1 ruptured renal artery aneurysm, 1 adrenal myelolipoma, 1 ruptured renal abscess, 2 ruptured hemorrhagic cysts, and 1 patient with undiagnosed coagulation disorder. Our objective was to ascertain whether an underlying cause of SPH was identifiable by CT, and to determine the extension of the hematomas. Computed tomography identified the hematoma in all 13 cases (sensitivity 100 %). In all 12 cases in which there was a renal or adrenal anatomic lesion, the underlying cause was identified with CT (100 %), with correct diagnosis in 11 cases (91.6 %). The case in which no lesion was identified was the undiagnosed coagulation disorder. We conclude that CT is a useful technique for the initial evaluation of SPH, permitting diagnosis of hemorrhage and identification of the underlying cause.
References
Apr 27, 1979·JAMA : the Journal of the American Medical Association·H W MurrayM H Collins
Aug 1, 1975·The Journal of Urology·W S McDougalL Persky
Nov 1, 1992·Journal of Clinical Ultrasound : JCU·G ZacharopoulosA Eliadis
Feb 1, 1992·The Journal of Urology·D Pode, M Caine
Mar 1, 1991·The Journal of Urology·R J ZagoriaS F Quinn
Sep 1, 1989·Radiology·J S BelvilleS S Tumeh
Sep 1, 1989·Radiology·M A Bosniak
Jan 1, 1988·Pediatric Radiology·L D NarlaM Nigro
Feb 1, 1988·The Journal of Urology·A R KendallM E Coll
Apr 1, 1987·AJR. American Journal of Roentgenology·E LevineM L MacDougall
Apr 1, 1987·AJR. American Journal of Roentgenology·J M Davis, A P McLaughlin
Jan 1, 1986·Journal of Surgical Oncology·J R DragoT J Rohner
Oct 1, 1995·British Journal of Urology·M O'Donnell, S Fleming
Aug 1, 1995·Seminars in Ultrasound, CT, and MR·M Korobkin, I R Francis
Jun 1, 1995·The Journal of Urology·R SandersB Gordon
Aug 1, 1994·Seminars in Ultrasound, CT, and MR·H J Paltiel
Jan 1, 1994·The Journal of Urology·R Chen, A C Novick
Citations
Jan 9, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·W A TanG Eles
Oct 27, 1998·Trends in Biochemical Sciences·J KimbleS Crittenden
Dec 14, 2011·Journal of Medical Case Reports·Iraklis C MitsogiannisEvangelos Karagiotis
Oct 16, 2004·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Creed M RuckerSanjeev Bhalla
Jul 31, 2008·Emergency Radiology·Erhan AkpinarOkan Akhan
Feb 24, 2011·Emergency Radiology·Jesus R DiazAnoop P Ayyappan
Mar 19, 2014·Current Problems in Diagnostic Radiology·Massimo TonoliniRoberto Bianco
Aug 28, 2012·Annals of Emergency Medicine·Fu-Yu LinWen-Sheng Tzeng
Aug 3, 2010·The American Journal of Emergency Medicine·Carlos Beaumont-CaminosJosé L García-Sanchotena
Oct 17, 2015·Insights Into Imaging·Massimo TonoliniGianpaolo Carrafiello
Mar 26, 2002·The Journal of Urology·Jian Qing ZhangKelly H Zou
Jun 4, 2015·Abdominal Imaging·Nancy A HammondFrank H Miller
Apr 4, 2015·South Asian Journal of Cancer·Bhuvanesh NanjappaMohammed Taif Bendigeri
Apr 12, 2017·Sudebno-meditsinskaia ekspertiza·Yu I PigolkinS E Boeva
May 1, 1999·Seminars in Ultrasound, CT, and MR·D S KatzR E Mindelzun
Nov 23, 2017·Endocrine·Ábel DecmannPeter Igaz
May 17, 2018·Culture, Health & Sexuality·Claire Kimberly, Robert McGinley
Mar 31, 2009·Archives of Sexual Behavior·Walter BocktingEli Coleman
Oct 12, 2010·Internal Medicine·Yan-Ying LinDavid Hung-Tsang Yen
Jul 19, 2011·Journal of Computer Assisted Tomography·Venkata S KatabathinaAbhijit Sunnapwar
May 27, 2016·Medicine·Guodong ZhuDalin He
Apr 11, 2020·Clinical Endocrinology·Oksana HamidiIrina Bancos
Aug 4, 2006·Annals of Saudi Medicine·Bimal ParameswaranNeelam Malik
Dec 19, 2002·Scandinavian Journal of Urology and Nephrology·K ChowP A Cornford