TITLE:
Rare Case of Spontaneous Perinephric Hematoma with Two-Year Follow-Up
AUTHORS:
Lit Kiat Tan, George Eng Geap Lee
KEYWORDS:
Spontaneous Perinephric Hematoma, Gerota’s Fascia, Kidney, Lenk’s Triad, Conservative Management
JOURNAL NAME:
Open Journal of Urology,
Vol.10 No.8,
August
10,
2020
ABSTRACT: Background: Spontaneous perinephric hematoma
with no associated pathology or provocation is a rare clinical
phenomenon. The hematoma requires a two-year
interval for a favorable hematoma resolution, and no associated hypertension or
renal scarring. Aims: Evidence of the efficacy
of conservative management for spontaneous perinephric hematoma with a 2-year
follow up. Case
Presentation: A
previously healthy 38-year-old woman, presented with a sudden onset of left
flank pain, associated with fatigue and pallor. The patient remained
hemodynamically stable with no significant history or associated provocations
identified. Conclusion: The acute management
strategy is favorable in such condition, as the hematoma remains under tamponade in the retroperitoneal space, regardless of
the size and organ displacement. Closed observation, serial blood
investigation and repeated CT scans are vital to assist in the decision to
intervene.