Case of spontaneous hematoma of the renal compartment resulting in hemorrhagic shock: A unique presentation in urology

Kanza Ngengo Roger 1, 2, *, Ba Zackaria 2, Justin Dieudonné Ziba Ouima 1, 3, Vasile Buda 1, Sergiu Nicolescu 1,2

1 Department of Urology, Metz-Thionville Regional Hospital Center, France.
2 Department of Urology, Hassan II University Hospital, University Sidi Mohammed Ben Abdellah, Fez, Morocco.
3 Department of Urology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(02), 1606–1610
Article DOI: 10.30574/wjarr.2024.21.2.0617
 
Publication history: 
Received on 14 January 2024; revised on 22 February 2024; accepted on 24 February 2024
 
Abstract: 
Hemorrhagic shock from spontaneous retroperitoneal hematoma of renal origin is a rare condition, and there are few publications on this subject. We present the case of a 60-year-old obese patient who experienced hemorrhagic shock from a right renal subcapsular hematoma that had ruptured into the retroperitoneum after initiation of anticoagulant treatment for acute pulmonary edema in the context of recurrent paroxysmal atrial fibrillation. The CT scan revealed a retroperitoneal hematoma and a possible hemorrhagic cyst in the right kidney. An emergency nephrectomy was necessary for hemostasis. The histology of the nephrectomy specimen confirmed the diagnosis of renal cell carcinoma.
 
Keywords: 
Hematoma; Compartment; Compromising; Shock
 
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