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Patients with end-stage renal disease (ESRD) often present to the Emergency Department with a multitude of complaints. Abnormal vital signs and a chief complaint of pain can produce a diagnosis ranging from a cardiac etiology to an infectious source. Our goal is to discuss a case in which an ESRD dialysis patient presented with a rare, life-threatening emergency. A 55-year-old man with ESRD presented with acute abdominal pain and hypotension caused by a spontaneous retroperitoneal hemorrhage. This case report demonstrates the necessity of having broad differential diagnoses when evaluating patients with ESRD. Copyright © 2013 Elsevier Inc. All rights reserved.


Geoff S Murphy, Scott E Sparks, Stephanie R Goldberg, Jessica R Morton. Spontaneous retroperitoneal hemorrhage in a dialysis patient. The Journal of emergency medicine. 2013 Feb;44(2):e217-9

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PMID: 22608603

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