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Abstract
A 55-year-old man admitted to our emergency department complaining of right flank acute pain. He also referred epistaxis, gingival bleeding, and hematuria for the past 3 days. His physical exam demonstrated abdominal subcutaneous hematomas and he referred abdominal tenderness on palpation. Seven days before these symptoms, his daily warfarin dose has been increased. His blood tests showed that the International Normalized Ratio was markedly elevated (3.6; his previous exam from before dosage increase was 2.2). An abdominal computed tomography was [...]
Highlights
Eduardo Kaiser Ururahy Nunes Fonseca1, Roberto Vitor Almeida Torres1, Luiz Raphael Pereira Donoso Scoppetta1, Cesar Higa Nomura1
Spontaneous subepithelial hemorrhage is a rare cause of abdominal pain and hematuria[1,2,3] and this is usually associated with bleeding diathesis, einstein (São Paulo). 2021;19:1-2
Unenhanced abdominal computed tomography is of great help for this difficult diagnosis as it reveals a spontaneously hyperattenuating[1,4,5,6] thickening of the renal pelvis and/or ureteral wall
Summary
Eduardo Kaiser Ururahy Nunes Fonseca1, Roberto Vitor Almeida Torres1, Luiz Raphael Pereira Donoso Scoppetta1, Cesar Higa Nomura1. 1 Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. How to cite this article: Fonseca EK, Torres RV, Scopetta LR, Nomura CH.
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