Korean J Nephrol.  2000 Nov;19(6):1154-1158.

A Case of Massive Perirenal Hematoma in a Patient with Hemorrhagic Fever with Renal Syndrome

• Park WH
• Kim YA
• Jung JH
• Choi SR
• Kang TS
• Seo JK
• Park HS
• Ha SK

Abstract

Hemorrhagic fever with renal syndrome is characterized clinically by the triad of fever, hemorrhage and renal failure. The hemorrhage in hemorrhagic fever with renal syndrome(HFRS) varies from transient petechial lesions to fulminant and massive bleeding. The latter can be an important cause of death in HFRS. We here report a case of massive perirenal hematoma in a patient with HFRS. A 17-year-old male was admited to our hospital presenting with fever, sore throat, nausea and oliuria. Computed tomography was performed at the 2nd day of hospitalization due to abruptly developing right flank pain and anemia and showed perirenal hematoma on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion, and transfusion. There was no evidence of further blood loss at the 7th day of hospitalization. After conservative treatment, he recovered from HFRS.

Keyword

Hemorrhagic fever with renal syndrome(HFRS); Perirenal hematoma

MeSH Terms

Adolescent
Anemia
Cause of Death
Fever
Flank Pain
Hematoma*
Hemorrhage
Hemorrhagic Fever with Renal Syndrome*
Hospitalization
Humans
Kidney
Male
Nausea
Pharyngitis
Renal Dialysis
Renal Insufficiency