Korean Journal of Nephrology 2000;19(6):1154-1158.
신장주위 거대혈종을 보였던 신증후성 출혈열 1예 (A Case of Massive Perirenal Hematoma in a Patient with Hemorrhagic Fever with Renal Syndrome)
박운형(Woon Hyung Park),김영아(Young A Kim),정재한(Jae Han Jung),최소래(So Rae Choi),강태수(Tae Soo Kang),서정건(Jung Gun Seo),박홍수(Hong Soo Park),하성규(Sung Gyu Ha)
Abstract
Hemorrhagic fever with renal syndrome is characterized clinically by the triad of fever, hemorrhage and renal failure. The hemorrhage in henorrhagic fever with renal syndrome(HFRS) varies from transient petechial lesions to fulminant and massive bleeding. The latter can be an important cause of death in HFRS. We here report a case of massive perirenal hematoma in a patient with HFRS. A 17-year-old male was admited to our hospital presenting with fever, sore throat, nausea and oliuria. Computed tomography was performed at the 2nd day of hospitalization due to abruptly developing right flank pain and anemia and showed perirenal hematoma on the right kidney. He was diagnosed as HFRS and treated with hemodialysis, fluid infusion, and transfusion. There was no evidence of further blood loss at the 7th day of hospitalization. After conservative treatment, he recovered from HFRS.
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