Spontaneous Retroperitoneal Hemorrhage: a Case Report and an Overview of the Literature View PDF

^*Daniele Bianchi
Department Of Urology, Rome, Italy

^*Corresponding Author:

Daniele Bianchi
Department Of Urology, Rome, Italy
Email:danielebianchimail@yahoo.it

Published on: 2015-04-06

Abstract

We report the case of a 74-year-old man afflicted with endstage renal disease, currently in chronic replacement therapy, taking warfarin on a regular basis, who presented feelings of weakness and acute right flank pain during a dialysis session. He was sent to the Emergency Department where an abdominal computed tomography with intravenous contrast administration revealed the presence of a wide hematoma developing in the right kidney, with continuous extension to perirenal fat tissue, Gerota’s fascia and posterior pararenal space.

Keywords

Retroperitoneal; Renal disease; Emergency

Introduction

We report the case of a 74-year-old man who was sent to the Emergency Department of our hospital by the medical staff of our Dialysis Center because of weakness and acute right flank pain during a dialysis session. His blood pressure was 115/90 mmHg, with a pulse rate of 84 bpm and peripheral oxygen saturation above 96%. His body temperature was below 37°C.