Spontaneous renal pseudoaneurysm rupture presenting as acute intraabdominal haemorrhage

The British Journal of Radiology
W C PehP C Tam

Abstract

A 39-year-old man with a known history of end-stage renal disease presented with hypovolaemic shock and acute abdominal pain. Blood-stained peritoneal fluid was present. Right perirenal and extensive mesenteric haematomas were seen at laparotomy and CT. Right renal arteriography demonstrated a small renal artery pseudoaneurysm, and embolization was performed. The patient later developed intractable sepsis and died despite nephrectomy and drainage of the infected haematomas. Although there is an increasing trend towards conservative management of spontaneously ruptured kidneys from benign causes, embolization followed by early surgery should be considered in cases of extensive intraabdominal haemorrhage.

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Citations

May 14, 1998·The British Journal of Radiology·K H YipP C Tam
Jul 11, 2006·Postgraduate Medical Journal·A AbdellaouiD Sandilands
Jun 17, 2010·Indian Journal of Pathology & Microbiology·Rashmi KushwahaJ S Dhupia
May 24, 2000·Cardiovascular and Interventional Radiology·C MounayerE Houdart
Mar 26, 2002·The Journal of Urology·Jian Qing ZhangKelly H Zou
Jan 7, 2009·Language, Speech, and Hearing Services in Schools·Kathy LeeMichael Tong
May 29, 2012·Clinics and Practice·Poras ChaudharyUpendra C Biswal

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