Presentation
Renal hematoma may present with signs and symptoms, which may mimic the clinical presentation of abruptio placentae or rupture uterus. [ncbi.nlm.nih.gov]
In the present study, the clinical presentations and conservative treatment of a SRH following a failed UHL procedure in a young male patient were discussed. [spandidos-publications.com]
Entire Body System
- Pain
All these patients underwent outpatient treatment without general anesthesia, but pethidine was administered for pain control. [ncbi.nlm.nih.gov]
Low back pain became more intense 1 day after LPB. The pain was localized in the left low back, and no root signs were noted. The pain was treated with 200 mg intravenous diclofenac. [anesthesiology.pubs.asahq.org]
I also have an ovarian cyst which they are removing this week to see if my flank pain could be referred pain from that. [csn.cancer.org]
- Anemia
A normocytic normochromic anemia is present as early as stage 3 CKD and is almost universal by stage 4. 1 An anemia of chronic disease picture may also be seen. [emdocs.net]
Laboratory tests registered a positive inflammation syndrome, anemia and an increase in nitrogen compounds. [degruyter.com]
Laboratory tests revealed an increased white blood cell count of 18,200/μL and anemia with 8.6 g/dL hemoglobin. The serum level of creatinine was 1.03 mg/dL. [rrtjournal.biomedcentral.com]
Full Text Dear Editor: Atypical hemolytic uremic syndrome (aHUS) is a rare, life-threatening systemic inflammatory disease that presents classically with microangiopathic hemolytic anemia, thrombocytopenia and acute kidney injury. 1 Extra renal manifestations [revistanefrologia.com]
- Swelling
Hematomas cause swelling and inflammation. Often the inflammation and swelling cause irritation of adjacent organs and tissues, and cause the symptoms and complications of a hematoma. [medicinenet.com]
Approximately 1 in 4000 will have a more serious reaction, such as severe asthma or swelling of the airway, and may require intravenous medication and a longer period of observation. [stanfordhealthcare.org]
Symptoms depend upon their location and whether the size of the hematoma or the associated swelling and inflammation cause nearby structures to be affected. The common symptoms of inflammation include: redness, pain, and swelling. [emedicinehealth.com]
There were hepatosplenomegaly and swelling on the left quadrant of the abdomen. The other system examinations were normal. The laboratory values; hemoglobine: 8.5 g/dL, platelets 228000/mm3, WBC 25.000/ul. [panafrican-med-journal.com]
Case presentation A 69-year-old man with no prior history of medication or anticoagulant therapy first noticed a painless swelling in his left flank in 2005. [bmcurol.biomedcentral.com]
- Surgical Procedure
If vital signs were not stable and the level of Hb was decreasing continuously even after resuscitation, a surgical procedure would be compelled. Active hemorrhage is the main indication for surgical intervention. [jscisociety.com]
Other causes include interventions such as renal biopsy, surgical procedures and extra corporeal shock lithotripsy. With subcapsular hematoma, the patient’s symptoms will vary depending on the degree and duration of the bleed. [sonoworld.com]
Other surgical procedures are indicated when the stenosis is severe and unsuitable for angioplasty or else, in this failure. [intechopen.com]
A variety of surgical procedures were used to repair the defect, depending on the location and severity of the defect. Complications occurred in 24 patients. [east.org]
- Congestive Heart Failure
heart failure due to its antidiuretic effect Special considerations: if no IV access DDAVP can be administered intranasally at a dose of 3 mcg/kg, however IV dose is preferred. [emdocs.net]
The patient had a history of congestive heart failure (CHF), mitral valve disease and atrial fibrillation (AF). [sjkdt.org]
Gastrointestinal
- Abdominal Pain
Abstract An 80-year-old woman was admitted to the hospital complaining of loss of appetite. 10 days earlier, her oral intake gradually decreased with no other specific symptoms, such as abdominal pain, nausea, vomiting, headache, or low back pain. [ncbi.nlm.nih.gov]
We decided to perform an abdominal computerized tomography (CT) to evaluate the cause of the abdominal pain. [heartviews.org]
Livedo reticularis, nodules, mononeuritis multiplex, abdominal pain, and testicular involvement are well-described features. [indianjnephrol.org]
The characteristic clinical features are abdominal pain, a mass in the flank and signs of internal bleeding. [academic.oup.com]
- Nausea
Abstract An 80-year-old woman was admitted to the hospital complaining of loss of appetite. 10 days earlier, her oral intake gradually decreased with no other specific symptoms, such as abdominal pain, nausea, vomiting, headache, or low back pain. [ncbi.nlm.nih.gov]
We showed a patient aged 63 years hospitalized due to languor, febrility, abdominal pain accompanied by nausea and vomiting. [degruyter.com]
She denied nausea, vomiting, changes in bowel habits, or recent abdominal trauma. The patient had been recently transitioned from warfarin to enoxaparin after having a shoulder surgery one week prior to her presentation. [jetem.org]
It was sudden in onset and severe in intensity and associated with nausea and hematuria. On examination, her blood pressure for as much as 150/96 mmHg about 10 years. Not taking any antihypertensive medications. [openurologyandnephrologyjournal.com]
- Vomiting
Abstract An 80-year-old woman was admitted to the hospital complaining of loss of appetite. 10 days earlier, her oral intake gradually decreased with no other specific symptoms, such as abdominal pain, nausea, vomiting, headache, or low back pain. [ncbi.nlm.nih.gov]
We showed a patient aged 63 years hospitalized due to languor, febrility, abdominal pain accompanied by nausea and vomiting. [degruyter.com]
She denied nausea, vomiting, changes in bowel habits, or recent abdominal trauma. The patient had been recently transitioned from warfarin to enoxaparin after having a shoulder surgery one week prior to her presentation. [jetem.org]
Four days after discharge, she was admitted in the emergency room with a 12-hour history of severe right upper quadrant pain and vomiting without history of trauma. [revistanefrologia.com]
- Right Flank Pain
She complained of right flank pain and fever and the findings following abdominal echography, computerized tomography (CT) scan and renal angiography agreed with a diagnosis of subcapsular renal hematoma without renal tumor. [ncbi.nlm.nih.gov]
She complained of right flank pain… (More) [semanticscholar.org]
Over the last 1 month, he developed right flank pain that was dull, persistent, without any aggravating or relieving factor. [indianjnephrol.org]
We report a 38-year-old lady presenting with sudden onset right flank pain with uncontrolled hypertension and she was found to have subcapsular collection in the right kidney on ultrasonography. Finding was confirmed on computed tomography. [urologyannals.com]
Case Report A 33-year-old man was referred with right flank pain after ureterorenoscopy procedure. The ureterorenoscopy was performed for 1 cm right distal ureteral stone with pneumatic lithotripsy in an another hospital. [mjdrdypu.org]
- Loss of Appetite
Abstract An 80-year-old woman was admitted to the hospital complaining of loss of appetite. 10 days earlier, her oral intake gradually decreased with no other specific symptoms, such as abdominal pain, nausea, vomiting, headache, or low back pain. [ncbi.nlm.nih.gov]
Cardiovascular
- Hypertension
A history of hypertension and higher BMI are important predisposing factors to perirenal hematoma. [ncbi.nlm.nih.gov]
If hypertension persists, the renal function deteriorates PAGE KIDNEY: SUBCAPSULAR HAEMATOMA AND ARTERIAL HYPERTENSION. .. Figura 2. [redalyc.org]
ABSTRACT A case of Page kidney as a result of injury followed by hypertension is presented. [urotoday.com]
- Thrombosis
However, in cases of rupture of the graft without thrombosis, should be attempted to suture the parenchyma and preservation of the graft ( Gang S, 2009 ). Figure 9. Nephrectomy: Renal vein thrombosis. Figure 10. [intechopen.com]
The steps to reduce CIN, renal artery dissection, and thrombosis have been described elsewhere. [evtoday.com]
Spontaneous retroperitoneal hematoma with deep venous thrombosis of left lower limb managed conservatively 1 Department of Surgery, J. N. Medical College and KLES Dr. [jscisociety.com]
Arterial thrombosis Major deceleration injuries can result in stretching on the renal artery and tearing of the vessel intima, resulting in thrombosis of the main renal artery or its segmental branches and thus causing infarction of the renal parenchyma [emedicine.medscape.com]
- Heart Failure
failure due to its antidiuretic effect Special considerations: if no IV access DDAVP can be administered intranasally at a dose of 3 mcg/kg, however IV dose is preferred. [emdocs.net]
The patient had a history of congestive heart failure (CHF), mitral valve disease and atrial fibrillation (AF). [sjkdt.org]
macroembolization to the feet or skin, or multiorgan failure. [evtoday.com]
Skin
- Purpura
Capillary hemangioma with extensive purpura: report of a case. Am J Dis Child 1940; 59 :1063–1070. 2. Beutler E, Lichtman MA, Coller BS, Williams WJ. Williams Hematology. 6th edn., Newyork: McGraw-Hill ; 2001. 3. [nature.com]
Investigations for secondary causes of ATM (pregnancy, auto-immune disease, malignancy, drug-induced), infection-induced HUS and thrombotic thrombocytopenic purpura were normal. [revistanefrologia.com]
[…] the layers of cartilage of the ear Breast hematoma ( breast ) Perichondral hematoma ( ear ) Perianal hematoma ( anus ) Subungual hematoma (nail) Rectus sheath hematoma Degrees [ edit ] Petechiae – small pinpoint hematomas less than 3 mm in diameter Purpura [en.wikipedia.org]
Petechiae are tiny dots of blood usually less than 3 millimeters in diameter (0.12 inch) while purpura are less than 10 millimeters in diameter (0.40 inch) and ecchymosis is greater than 10 millimeters in diameter. [emedicinehealth.com]
Musculoskeletal
- Back Pain
Abstract An 80-year-old woman was admitted to the hospital complaining of loss of appetite. 10 days earlier, her oral intake gradually decreased with no other specific symptoms, such as abdominal pain, nausea, vomiting, headache, or low back pain. [ncbi.nlm.nih.gov]
Low back pain became more intense 1 day after LPB. The pain was localized in the left low back, and no root signs were noted. The pain was treated with 200 mg intravenous diclofenac. [anesthesiology.pubs.asahq.org]
She developed a spontaneous right-sided perirenal hematoma, along with back pain, on the day of referral to the nephrology unit and a spontaneous left-sided perirenal hematoma ten days later. [rrtjournal.biomedcentral.com]
[…] and swelling Severe flank pain and back pain Blood in the urine Drowsiness, decreased alertness, including coma Decreased urine output or inability to urinate Fever Increased heart rate Nausea, vomiting Skin that is pale or cool to touch Sweating Long-term [medlineplus.gov]
Neurologic
- Intracranial Hemorrhage
Mechanisms responsible for the MR appearance and evolution of intracranial hemorrhage. Radiographics 1988; 8:427-440. Gomori JM, Grossman RI, Yu-Ip C, Asakura T. [mriquestions.com]
Symptoms of intracranial hemorrhage and/or hematoma depend upon where the brain is affected. [emedicinehealth.com]
Urogenital
- Hematuria
About 25% of patients with gross hematuria have significant injuries But, 24% of patients with renal pedicle injury have no hematuria Only 1-2% with microhematuria have a severe renal injury Types of injuries CT Classification of Renal Trauma CT Grade [learningradiology.com]
A neonate that had a forearm hemangioma, gross hematuria, and a renal parenchymal hematoma was found to have Kasabach-Merritt syndrome. [ncbi.nlm.nih.gov]
Patients require strict bed rest until gross hematuria has resolved. [merckmanuals.com]
The infant has had no bleeding abnormalities since this surgery and no further hematuria. [nature.com]
- Flank Pain
The most common symptoms of renal hematoma are severe flank pain and hematuria. A history of hypertension and higher BMI are important predisposing factors to perirenal hematoma. [ncbi.nlm.nih.gov]
I also have an ovarian cyst which they are removing this week to see if my flank pain could be referred pain from that. [csn.cancer.org]
The affected patients present to emergency departments with the symptoms and sings comprising sudden onset flank pain, abdominal tenderness and hematuria. [omicsonline.org]
The patients may present with abdominal or flank pain, hematuria, palpable mass, and signs of blood loss. [5] Treatment of subcapsular renal hematoma varies based on the degree of hematoma. [mjdrdypu.org]
- Renal Injury
In patients with nephroptosis and the thin muscles, renal injury during the block occurs easily. Figure 1. Schematic illustration of lumbar plexus block (A) and renal injury (B). [anesthesiology.pubs.asahq.org]
Renal injuries are classified according to severity into 5 grades (see Figure: Grades of renal injury. ). Grades of renal injury. [merckmanuals.com]
Indications for renal exploration In order to select a renal injury for nonoperative management, the injury needs to be imaged and accurately staged. An incompletely staged renal injury requires surgical exploration. [emedicine.medscape.com]
- Macroscopic Hematuria
Gunshot in 86% and stab wound in 14%. 74% had macroscopic hematuria on presentation, 18% with microscopic hematuria, and 8% without hematuria on urinalysis. [east.org]
Workup
Workup disclosed a large perirenal and retroperitoneal hematoma, this patient was treated with antibiotics, fever eventually resolved spontaneously. [bioaccent.org]
The final genetic workup was available only after discharge and detected a complement factor H haplotype H3 (−332T, c.184G, c.1204T, c.2016G, and c.2808T). [revistanefrologia.com]
Treatment
All of them received conservative and supportive treatment without surgical exploration. Ten (50%) patients had a history of hypertension. Renal hematoma developed in 11 patients at the second or third SWL treatment. [ncbi.nlm.nih.gov]
Holmium laser lithotripsy (PowerSuite 60 W; Lumenis, Inc., San Jose, CA, USA) under a rigid ureteroscope was recommended for treatment. [spandidos-publications.com]
Prognosis
Men and patients with a younger age of onset present with a more severe prognosis. [panafrican-med-journal.com]
What Is the Prognosis for Hematoma? Blood vessels are routinely injured and may leak blood causing hematomas or blood clots. Depending upon their size and location, hematomas may be insignificant or may cause life-threatening damage. [emedicinehealth.com]
Corticosteroids plus pulse cyclophosphamide and plasma exchanges versus corticosteroids plus pulse cyclophosphamide alone in the treatment of polyarteritis nodosa and Churg–Strauss syndrome patients with factors predicting poor prognosis. [nature.com]
The clinical, radiological findings, prognosis of a massive perinephric hematoma following a renal biopsy in a high risk patient with severe renal failure are discussed. [sjmms.net]
The prognosis of absorption fever, which can be alleviated with antipyretics or other symptomatic relief and supportive treatment, is good. [journals.lww.com]
Etiology
We conclude that conservative management is the first choice for subcapsular renal hematoma without a definite etiology, especially in an elderly patient. [ncbi.nlm.nih.gov]
The main determinants in the treatment are patient’s hemodynamic status and the etiology. [omicsonline.org]
Zhang JQ, Fielding JR, Zou KH. 2002 Etiology of spontaneous perirenal hemorrhage: A meta-analysis. J Urol.167:1593-1596. [theisn.org]
In the absence of an apparent etiology, patients with spontaneous renal bleeding and a normal contralateral kidney should undergo radical nephrectomy because of the extremely high incidence of small undetectable occult tumors, often less than 2cm. in [auajournals.org]
Epidemiology
Epidemiology of renal trauma: In blunt abdominal trauma, up to 40% present with renal injury. In urban areas, 80% of renal injuries occur in the context of polytrauma. In ski resorts, 2/3 of renal injuries are due to skiing accidents. [urology-textbook.com]
Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention. Am J Med, 95 (1993), pp. 315-328 [2] A.K. Chakraborty, R.B. Dreisin. Pulmonary hematoma secondary to anticoagulant therapy. [archbronconeumol.org]
Giant cell arteritis is more prevalent in urban than in rural populations: results of an epidemiological study of primary systemic vasculitides in Germany. Rheumatology (Oxford) 39, 1396–1402 (2000). 4. [nature.com]
Pathophysiology
Uremic Bleeding: Pathophysiology, Diagnosis, and Management. Hospital Physician 2001 May; 76 45-50. Mannucci, M. Desmopressin (DDAVP) in the Treatment of Bleeding Disorders: The First 20 Years. Blood 1997 October 90(7): 2515-2521. [emdocs.net]
Unlike true capillary hemangiomas that regress in childhood and are a cosmetic nuisance, the lesions in KMS are distinctive vascular tumors, that include tufted angiomas and kaposiform hemangioendotheliomas. 2 The pathophysiology is believed to be consumption [nature.com]
The pathophysiology of hypertension associated with renal compression from perinephric hematoma or chronic perirenal scarring results from an intrarenal artery or segmental branch stenosis [3]. [urotoday.com]
Prevention
Use of dedicated catheters, stents, wires, and adjunctive medical therapy can prevent complications. [evtoday.com]
The many layers of padding help prevent kidney injury. [medlineplus.gov]
Prevention of this complication is associated with the surgeon's awareness. When the patients have risk factors, this complication must be taken into consideration by urologists. [mjdrdypu.org]
Editorial Past issues FOR CONTRIBUTORS Authors Guidelines Italian Copyright English Copyright Advanced Search Additional Info Authors: Buracco P., Valenza F., Cornaglia E., Capurro C., Year: 1989 Reference: Veterinaria n.2/1989 Related items Leishmaniasis prevention [veterinaria.scivac.org]