Korean J Radiol.  2007 Aug;8(4):348-350. 10.3348/kjr.2007.8.4.348.

Renal Artery Embolization of Perirenal Hematoma in Hemorrhagic Fever with Renal Syndrome: A Case Report

• Choi HS
• Lee YS
• Hwang JC
• Lim JH
• Kim KS
• Yoon Y

• KMID: 1110733
• DOI: http://doi.org/10.3348/kjr.2007.8.4.348

Abstract

Hemorrhagic fever with renal syndrome (HFRS) is an acute viral disease characterized by fever, hemorrhage and renal failure. Among the various hemorrhagic complications of HFRS, spontaneous rupture of the kidney and perirenal hematoma are very rare findings. We report here on a case of HFRS complicated by massive perirenal hematoma, and this was treated with transcatheter arterial embolization.

Keyword

Hantavirus; Kidney, hemorrhage; Renal angiography; Renal arteries, therapeutic embolization

MeSH Terms

*Embolization, Therapeutic
Hematoma/radiography/*therapy/virology
Hemorrhagic Fever with Renal Syndrome/*complications
Humans
Kidney Diseases/radiography/*therapy/virology
Male
Middle Aged
*Renal Artery/radiography

Figure

• 

  Fig. 1 A 48-year-old man with hemorrhagic fever with renal syndrome complicated by perirenal hematoma. A. Physical examination on admission reveals petechial rashes on the whole body. B. The contrast enhanced CT scan obtained on admission reveals active extravasation of contrast media (arrow) in the inferior portion of the left kidney and perirenal hematoma. C. The coronal reformatted image also shows active extravasation of contrast media at the inferior portion of the left kidney (arrow) with massive perirenal hematoma extending into the pelvic cavity (short arrows). D,E. Selective left renal arteriography (D) and superselective renal arteriography (E) show active extravasation of contrast media from ruptured branches of the inferior division of the renal artery (arrows). There is no hypervascular mass or arteriovenous malformation. F. Selective left renal arteriography performed after superselective embolization with microcoils demonstrates no more extravasation of contrast media.

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