Spontaneous renal hemorrhage in hemodialysis patients.

Dialysis patients have a tendency to bleed, and clinicians sometimes encounter cases with a significant amount of spontaneous hemorrhage. We herein report two cases of spontaneous renal hemorrhage in hemodialysis patients. CASE 1: A 70-year-old male who had received hemodialysis for 8 years presented with right abdominal pain. He had a history of renal failure due to diabetes mellitus. CT showed a right perirenal hemorrhage. Angiography revealed a right renal artery hemorrhage, and catheter embolization was performed. CASE 2: A 76-year-old male who had undergone 7 years of continuous ambulatory peritoneal dialysis and 1 year of hemodialysis presented with right abdominal pain. He had a history of renal failure due to IgA nephropathy. CT showed a right perirenal hemorrhage. He received a blood transfusion and was put on absolute bed rest. At 2 days after admission, his anemia was found to have improved.

Citation

Takashi Kawahara, Kimiko Kawahara, Hiroki Ito, Satoshi Yamaguchi, Hiroshi Mitsuhashi, Kazuhide Makiyama, Hiroji Uemura, Masashi Sakai, Yoshinobu Kubota. Spontaneous renal hemorrhage in hemodialysis patients. Case reports in nephrology and urology. 2011 Jul;1(1):1-6

PMID: 23197944

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