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Related Experiment Videos

Bilateral hemorrhagic parapelvic pseudocysts.

D E Cover1, V E Torres, R R Hattery

  • 1Division of Nephrology and Internal Medicine, Mayo Clinic, Rochester, MN 55905.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|April 1, 1988
PubMed
Summary

Anticoagulant therapy can lead to bilateral parapelvic hemorrhagic pseudocysts, causing abdominal pain and decreased kidney function. These pseudocysts and associated symptoms resolved after treatment, suggesting a specific pathogenesis.

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Area of Science:

  • Nephrology
  • Radiology
  • Hematology

Background:

  • Anticoagulant medications are widely used but can have rare complications.
  • Hemorrhagic pseudocysts in the renal sinus are an uncommon presentation.
  • Understanding the pathogenesis of these lesions is crucial for patient management.

Observation:

  • A patient on anticoagulants developed bilateral parapelvic hemorrhagic pseudocysts.
  • Symptoms included abdominal pain, malaise, fever, elevated inflammatory markers (erythrocyte sedimentation rate, serum alkaline phosphatase), and reduced renal function.
  • Newer imaging modalities facilitated diagnosis and comprehension of the pathological process.

Findings:

  • The patient's symptoms and impaired renal function resolved concurrently with the resolution of the hemorrhagic pseudocysts.

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  • The bilateral and localized nature of the hemorrhages suggests a distinct underlying cause.
  • Advanced imaging techniques aid in diagnosing and understanding renal sinus pathologies.

    • Implications:

    • This case highlights a potential adverse effect of anticoagulation therapy.
    • It underscores the importance of considering hemorrhagic pseudocysts in patients on anticoagulants presenting with relevant symptoms.
    • Further research into the specific pathogenesis of these lesions is warranted.