Korean J Med.  2002 Jun;62(6):671-674.

A case of retroperitoneal hematoma by spontaneous rupture of renal capsule in hemorrhagic fever with renal syndrome presented with anuria and unilateral flank pain

• Li JH
• Park JH
• Lee MS
• Ahn SH
• Song JH

Abstract

The hemorrhage in hemorrhagic fever with renal syndrome (HFRS) varies from transient petechial lesions to fulminant and massive bleeding. Also in vital organ such as lung, kidney, spleen, brain and pituitary, hemorrhage occasionally occurs spontaneously or by minor trauma. We report a case of retroperitoneal hematoma by spontaneous rupture of renal capsule in HFRS presented with anuria and right flank pain. A 34-year-old male was admitted to our hospital presenting anuria and right flank pain for 3 days. He also had suffered from fever and myalgia since 5 days ago. Sonography and computed tomography were performed at the day of hospitalization and showed massive perirenal hematoma with ruptured renal capsule and spurtting subcapsular renal artery on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion and transfusion. After conservative treatment, he recovered from HFRS without further blood loss.

Keyword

Hemorrhagic fever with renal syndrome (HFRS); Rupture; Hematoma

MeSH Terms

Adult
Anuria*
Brain
Fever
Flank Pain*
Hematoma*
Hemorrhage
Hemorrhagic Fever with Renal Syndrome*
Hospitalization
Humans
Kidney
Lung
Male
Myalgia
Renal Artery
Renal Dialysis
Rupture
Rupture, Spontaneous*
Spleen