Spontaneous subcapsular renal haematoma in a diabetic patient with acute pyelonephritis.

Spontaneous renal subcapsular haematoma is not a common clinical condition. It is mainly caused by renal tumours, vascular diseases, trauma, anticoagulation, and urological interventions. Patients present with sudden onset abdominal pain mainly in the flank region, haematuria, and abdominal tenderness. We report a case of 42-year-old diabetic patient who presented with a history of fever and left flank pain with clinical signs of pyelonephritis, on whom abdominal ultrasound and computed tomography demonstrated a subcapsular renal haematoma which was confirmed by percutaneous aspiration. Management with antibiotics and percutaneous nephrostomy proved successful.

Citation

Nishant Nayyar, Dinesh Sood, Narvir S Chauhan, Neeraj Kumar, Manoj Thakur, Deepika Thakur. Spontaneous subcapsular renal haematoma in a diabetic patient with acute pyelonephritis. Tropical doctor. 2021 May 27:494755211017019

PMID: 34041982

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