Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Spontaneous subcapsular and perirenal hematomas.

Spontaneous subcapsular and perirenal hematomas. Subcapsular Hematomas’ and subcapsular or perirenal hematoma is a relatively uncommon but often diagnostically challenging condition. The appropriate treatment of these patients is based first on the diagnosis that a subcapsular or perirenal hemorrhage has occurred and second on the determination of its cause. Accurate diagnosis of the cause requires a combination of clinical information and radiologic imaging. Computed tomography (CT) or sonography can readily demonstrate that a subcapsular or perirenal hematoma has occurred because the kidney and perirenal spaces are so well visualized with these techniques. The cause of the hemorrhage, however, may be somewhat more difficult to ascertain. From the clinical history, one should be able to exclude trauma and to determine whether the patient has been taking anticoagulation medication; has a bleeding diathesis, arteritis, or tuberous sclerosis; or is undergoing longterm hemodialysis, since these conditions are associated with perirenal bleeding. Establishment of other causes depends on renal imaging for diagnosis. Renal cell carcinoma, angiomyolipoma, arteriovenous malformation, renal artery aneurysms (including arteritis), renal infarction, abscess, and ruptured cyst are all associated with spontaneous renal hematoma. One of the difficult challenges in these cases is that a small number of hemorrhages are idiopathic (ie, without a demonstrable http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Radiology Radiological Society of North America, Inc.

Spontaneous subcapsular and perirenal hematomas.

M A Bosniak
Radiology , Volume 172: 601 – Sep 1, 1989
Download PDF
2 pages

Loading next page...
 
/lp/radiological-society-of-north-america-inc/spontaneous-subcapsular-and-perirenal-hematomas-JKERDbBmSO

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Radiological Society of North America, Inc.
Copyright
Copyright © September 1989 by Radiological Society of North America
ISSN
1527-1315
eISSN
0033-8419
Publisher site
See Article on Publisher Site

Abstract

Subcapsular Hematomas’ and subcapsular or perirenal hematoma is a relatively uncommon but often diagnostically challenging condition. The appropriate treatment of these patients is based first on the diagnosis that a subcapsular or perirenal hemorrhage has occurred and second on the determination of its cause. Accurate diagnosis of the cause requires a combination of clinical information and radiologic imaging. Computed tomography (CT) or sonography can readily demonstrate that a subcapsular or perirenal hematoma has occurred because the kidney and perirenal spaces are so well visualized with these techniques. The cause of the hemorrhage, however, may be somewhat more difficult to ascertain. From the clinical history, one should be able to exclude trauma and to determine whether the patient has been taking anticoagulation medication; has a bleeding diathesis, arteritis, or tuberous sclerosis; or is undergoing longterm hemodialysis, since these conditions are associated with perirenal bleeding. Establishment of other causes depends on renal imaging for diagnosis. Renal cell carcinoma, angiomyolipoma, arteriovenous malformation, renal artery aneurysms (including arteritis), renal infarction, abscess, and ruptured cyst are all associated with spontaneous renal hematoma. One of the difficult challenges in these cases is that a small number of hemorrhages are idiopathic (ie, without a demonstrable

Journal

Radiology – Radiological Society of North America, Inc.

Published: Sep 1, 1989

There are no references for this article.