RESEARCH ARTICLE


Urinary Infection and Spontaneous Subcapsular Renal Hematoma



Jian-Feng Liu, Yong-Hong Cai, Ke-Zhong Zhao*, Zhang Lian, Rui-Hong Han, De-Li Zhang, Zhan Yan, Jin-Lei Wang, Wan-Ying Zou , Zhao Jin
Jinghai Clinical College, Tianjin Medical University, Tianjin, P.R. China


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Creative Commons License
© Liu et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Nephrology, Jinghai Clinical College, Tianjin Medical University, Tianjin, P.R. of China; Tel: +86-22-68924230; Fax: +86-22-28942928; E-mail: kzz2568@126.com


Abstract

Spontaneous subcapsular renal hematoma is an uncommon entity. We report a 54-year-old lady presenting with high fever, dysuria followed 5 days later by acute onset left flank pain and uncontrolled hypertension. Ultrasound, computed tomography and magnetic resonance imaging showed a subcapsular hematoma in the left kidney. Except urinary tract infection and hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. The collection disappeared on MRI at 6 weeks follow-up. She was asymptomatic at 23 months follow-up.

Keywords: Renal hematoma, spontaneous renal rupture, subcapsular..