Reactions 1704, p183 - 2 Jun 2018
Spontaneous perirenal haematoma: case report
In a case series of three patients
, a 45-year-old woman was
described, who developed spontaneous peri-renal haematoma
during treatment with heparin [route and duration of treatment
to reaction onset not stated; indication not clearly stated].
The woman had underlying condition of end stage renal
disease (ESRD) due to hypertension. She received
haemodialysis (HD) twice a week for six months and also
received heparin 0.5 mg/kg (at 5 mg/hr) treatment during
haemodialysis. However, she presented with an acute
abdominal pain during haemodialysis session and and had to
stop therapy before schedule on 4 June 2013. Physical
examination was consistent with left abdominal tenderness.
After several clinical investigations, an urgent CT scan revealed
a large haematoma encroaching on the left kidney with ascites.
A diagnosis of SPH was made.
The woman’s heparin treatment was discontinued. Further
HD was carried out without heparin. She underwent left renal
artery gelatin sponge embolisation. She was treated with
haemostatics, antibiotics, blood transfusion and
haemodialysis. She exhibited complete recovery, and was
discharged from the hospital after 10 days.
Author comment: "In this article, we report a total of
three cases of [spontaneous perirenal hemorrhage] in HD
patients treated with selective renal arterial embolization."
"Anticoagulation used for hemodialysis and uremia associated
functional platelet abnormalities probably act as contributing
* Suspect drugs were not specified in other 2 patients. Both received
an unspecified low-molecular-weight heparin.
Xie Y, et al. Spontaneous perirenal hemorrhage in hemodialysis patient treated
with selective embolization: A case series and review of the literature.
Hemodialysis International 22: 222-227, No. 2, Apr 2018. Available from: URL:
http://doi.org/10.1111/hdi.12607 - China
Reactions 2 Jun 2018 No. 17040114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved