Abstract
Spontaneous renal hemorrhage is an unusual and severe complication of urinary tract infection. A 73-year-old woman with diabetic nephropathy was admitted with fever and intermittent abdominal pain for one day. She had pyuria and was treated for a presumed urinary tract infection. Initial abdominal ultrasonography showed only bilateral renal atrophy. Subsequently, she developed more severe abdominal pain and her hemoglobin dropped. Computed tomography showed a right perirenal hemorrhage. A right nephrectomy was performed, revealing both a perirenal hemorrhage and abscess. Postoperatively, various complications intervened and the patient died 10 days later. In conclusion, accurate diagnosis of spontaneous renal hemorrhage requires prompt immediate imaging studies to guide the management, and computed tomography is the procedure of choice.
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