Perinephric Capsular Haematoma Associated with Complicated Pyelonephritis in a Patient with HIV

A 53 year-old-male patient presented with 24 hours of left flank pain. He was an undiagnosed HIV positive individual with no history of trauma. He was anaemic and in acute renal failure with a serum creatinine of 4.14 mg/dL. A CT scan demonstrated a left perinephric capsular haematoma with retroperi...

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Bibliographic Details
Published in:Journal of surgical case reports 2010-10, Vol.2010 (8), p.2-2
Main Authors: Lee, Seong K., Carrillo, Eddy, Rosenthal, Andrew, Sanchez, Rafael, Pepe, Antonio, Abrahams, Neil, Ruyani, Behruze
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Complications and side effects
Diagnosis
haematoma
Hematoma
HIV
HIV infection
perinephric
Pyelonephritis
Risk factors
Urology
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Summary:A 53 year-old-male patient presented with 24 hours of left flank pain. He was an undiagnosed HIV positive individual with no history of trauma. He was anaemic and in acute renal failure with a serum creatinine of 4.14 mg/dL. A CT scan demonstrated a left perinephric capsular haematoma with retroperitoneal stranding. Due to haemodynamic instability, the patient was taken to the operating room and a nephrectomy was performed. Post-operatively, the patient required temporary haemodialysis. Pathologic examination of the specimen demonstrated active infection with a haematoma surrounding a fistulous tract communicating with the capsular surface. Infection is a rare cause of non-traumatic capsular hematomas of the kidney.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/2010.8.2