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The British Journal of Radiology, Vol 70, Issue 839 1188-1190, Copyright © 1997 by British Institute of Radiology

ARTICLES

Spontaneous renal pseudoaneurysm rupture presenting as acute intraabdominal haemorrhage

WC Peh, KH Yip and PC Tam
Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital, Hong Kong.

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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A Abdellaoui, W Al-Daraji, V Natarajan, and D Sandilands
Spontaneous renal haemorrhage in the peritoneal cavity.
Postgrad. Med. J., July 1, 2006; 82(969): e14 - e14.
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