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Updated: Aug 5, 2025
07:48
Noninvasive and Invasive Renal Hypoxia Monitoring in a Porcine Model of Hemorrhagic Shock
Published on: October 28, 2022
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SPONTANEOUS RENAL HAEMORRHAGE
João Luís Cavaco1, Francisco Capinha2, Maria José Pires1
1Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal.
European Journal of Case Reports in Internal Medicine
|March 27, 2023
Summary
Spontaneous renal hemorrhage, a rare condition, can be fatal if not diagnosed quickly. Prompt identification and treatment are crucial for improving patient outcomes in cases of kidney bleeding.
Area of Science:
- Nephrology
- Radiology
- Emergency Medicine
Background:
- Spontaneous renal hemorrhage is a rare clinical event.
- It can present with severe complications, including shock.
- Absence of trauma and antithrombotic therapy are key features.
Purpose of the Study:
- To highlight the critical nature of spontaneous renal hemorrhage.
- To emphasize the importance of rapid diagnosis and management.
- To present a case illustrating the potential severity.
Main Methods:
- Case report of a 76-year-old female patient.
- Utilized contrast-enhanced computed tomography (CT) for diagnosis.
- Involved emergency surgical intervention.
Main Results:
- A large right kidney hematoma was identified via CT scan.
- The patient presented with signs of shock.
- Despite surgical management, the patient's outcome was fatal within 24 hours.
Conclusions:
- Spontaneous renal hemorrhage requires urgent recognition due to potentially fatal outcomes.
- Contrast-enhanced abdominal CT is the standard for diagnosis.
- Management strategies include surgery for unstable patients and conservative therapy for stable ones.
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