A Case of Spontaneous Renal Subcapsular Hematoma and Acute Renal Failure Developed after Cesarean Section with Severe Preeclampsia.

Yang, Mi Ai; Moon, Chang Sik; Kim, Jong Hyeon; Jeong, Yong Ju; Cho, Sung Nam

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(2):488-491.
Published online February 1, 2003.

A Case of Spontaneous Renal Subcapsular Hematoma and Acute Renal Failure Developed after Cesarean Section with Severe Preeclampsia.

Mi Ai Yang, Chang Sik Moon, Jong Hyeon Kim, Yong Ju Jeong, Sung Nam Cho

Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Chonju, Korea.

Abstract

Spontaneous renal subcapsular hematoma is a rare, life-threatening condition that is usually caused by benign and malignant renal tumors, vascular diseases, inflammatory disorders, blood dyscrasias, and seldom suspected clinically. The characteristic clinical features are abdominal pain, a mass in the flank and signs of internal bleeding. Severe preeclampsia is also a major contributing factor of the renal hematoma. Because renal function is decreased in spontaneous renal subcapsular hematoma, physicians should be aware of the clinical symptoms and signs, appropriate investigation and management may be life-saving. This case of spontaneous renal subcapsular hematoma and acute renal failure complicated by severe preeclampsia, which occurred after delivery and was treated conservatively.

Key Words: Spontaneous renal subcapsular hematoma, Preeclampsia, Acute renal failure