무뇨와 측복통으로 내원한 신증후성 출혈열 환자에서 신 피막 자연 파열에 의한 후복막강 혈종
A case of retroperitoneal hematoma by spontaneous rupture of renal capsule in hemorrhagic fever with renal syndrome presented with anuria and unilateral flank pain
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무뇨와 우측 측복통으로 내원하여 신 피막의 자연파열이 동반된 신증후성 출혈열을 진단하고 응급혈액투석과 대증 치료로 회복된 예를 경험하였기에 보고하는 바이다.
Abstract
The hemorrhage in hemorrhagic fever with renal syndrome (HFRS) varies from transient petechial lesions to fulminant and massive bleeding. Also in vital organ such as lung, kidney, spleen, brain and pituitary, hemorrhage occasionally occurs spontaneously or by minor trauma. We report a case of retroperitoneal hematoma by spontaneous rupture of renal capsule in HFRS presented with anuria and right flank pain. A 34-year-old male was admitted to our hospital presenting anuria and right flank pain for 3 days. He also had suffered from fever and myalgia since 5 days ago. Sonography and computed tomography were performed at the day of hospitalization and showed massive perirenal hematoma with ruptured renal capsule and spurtting subcapsular renal artery on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion and transfusion. After conservative treatment, he recovered from HFRS without further blood loss.(Korean J Med 62:671-674, 2002)