A Case of Massive Perirenal Hematoma in a Patient with Hemorrhagic Fever with Renal Syndrome.
- Author:
Woon Hyoung PARK
1
;
Young A KIM
;
Jae Han JUNG
;
So Rae CHOI
;
Tae Soo KANG
;
Jung Kun SEO
;
Hong Su PARK
;
Sung Kyu HA
Author Information
1. Department of Internal Medicine, Yongdong Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea. hask1951@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome(HFRS);
Perirenal hematoma
- MeSH:
Adolescent;
Anemia;
Cause of Death;
Fever;
Flank Pain;
Hematoma*;
Hemorrhage;
Hemorrhagic Fever with Renal Syndrome*;
Hospitalization;
Humans;
Kidney;
Male;
Nausea;
Pharyngitis;
Renal Dialysis;
Renal Insufficiency
- From:Korean Journal of Nephrology
2000;19(6):1154-1158
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemorrhagic fever with renal syndrome is characterized clinically by the triad of fever, hemorrhage and renal failure. The hemorrhage in hemorrhagic fever with renal syndrome(HFRS) varies from transient petechial lesions to fulminant and massive bleeding. The latter can be an important cause of death in HFRS. We here report a case of massive perirenal hematoma in a patient with HFRS. A 17-year-old male was admited to our hospital presenting with fever, sore throat, nausea and oliuria. Computed tomography was performed at the 2nd day of hospitalization due to abruptly developing right flank pain and anemia and showed perirenal hematoma on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion, and transfusion. There was no evidence of further blood loss at the 7th day of hospitalization. After conservative treatment, he recovered from HFRS.
