Spontaneous renal hematoma. Report of a case series

Authors

  • María Esther Garza Montúfar Hospital General de Zona núm. 33, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
  • Luis Ariel Aguirre-Amador Hospital General de Zona y Medicina Familiar núm. 2, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
  • Sergio Arturo Galaviz- Hernández Hospital General de Zona núm. 33, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
  • Diego Fernando Ramírez- Rodríguez Hospital General de Zona núm. 33, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
  • Miguel Ángel Sandoval- Valle Hospital General de Zona núm. 33, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.
  • Carlos Ely Castañeda –Solís Hospital General de Zona núm. 33, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v79i2.479

Keywords:

Keywords: Wunderlich, kidney, renal hematoma, subcapsular hematoma, perirenal hemorrhage

Abstract

Background: Spontaneous renal hematoma is a rare pathology. Accurate diagnosis can prevent life-threatening complications. The aim of the present study was to report our experience in patients diagnosed with spontaneous renal hematoma.

Materials and methods: The case series included 17 patients with spontaneous renal hematoma that were seen at our hospital within the time frame of 2016-2018. Disease etiology, progression, and treatment data were retrieved from the clinical records of the patients.

Results: Twelve (70%) of the patients were women, 5 (30%) were men, and their mean age was 53.6 years. Abdominal computed axial tomography was the diagnostic method utilized in all the patients. Fourteen patients were treated surgically (nephrectomy) and 3 were managed conservatively. The most frequent cause of spontaneous renal hematoma was pyelonephritis (35%), followed by malignant tumor in 18% of the cases. The pathology was labelled as idiopathic in 29% of the patients.

Conclusions: In the present case series, spontaneous renal hematoma was more frequent in women. The main cause was pyelonephritis, followed by malignant tumor. The most frequent treatment was nephrectomy, but conservative management can be carried out in selected cases.

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Published

2019-06-10

Issue

Vol. 79 No. 2 (2019): March-April

Section

Clinical cases