Flank Pain, Nausea, Vomiting and Hypotension in a Chronic Hemodialysis Patient with a Spontaneous Perirenal Hemorrhage

被引：3

作者：

Igarashi, Yusuke ^{[1
]}

Akimoto, Tetsu ^{[1
]}

Nukui, Akinori ^{[2
]}

Nakamura, Hiroyasu ^{[3
]}

Kawai, Akira ^{[3
]}

Kijima, Shigeyoshi ^{[3
]}

Kubo, Taro ^{[2
]}

Sugimoto, Hideharu ^{[3
]}

Morita, Tatsuo ^{[2
]}

Kusano, Eiji ^{[1
]}

机构：

[1] Jichi Med Univ, Dept Internal Med, Div Nephrol, Shimotsuke, Tochigi, Japan

[2] Jichi Med Univ, Dept Urol, Shimotsuke, Tochigi, Japan

[3] Jichi Med Univ, Dept Radiol, Shimotsuke, Tochigi, Japan

来源：

INTERNAL MEDICINE | 2013年 / 52卷 / 18期

关键词：

perirenal hemorrhage; hemodialysis; hypotension; Wunderlich syndrome; SPONTANEOUS PERINEPHRIC HEMORRHAGE; ACUTE ABDOMEN; CT; KIDNEY; EMBOLIZATION; MANAGEMENT; HEMATOMA; DISEASE; DIAGNOSIS; DIALYSIS;

D O I：

10.2169/internalmedicine.52.0242

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Decreases in blood pressure develop in response to a wide range of clinical disorders. Various factors have been implicated in the development of hemodialysis-associated hypotension, including an impairment of the compensatory processes, an autonomic dysfunction or cardiac failure. The additional presence of concomitant acute abdomen may result in a diagnostically challenging situation. We herein report our experience with a chronic hemodialysis patient who developed severe hypotension with acute flank pain due to spontaneous bleeding around the kidney. Concerns regarding the management of the disease are also discussed.

引用

页码：2083 / 2086

页数：4

共 13 条

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Xie, Yun
Yang, Bo
Jiang, Gengru
Lu, Wei
Ronco, Claudio
HEMODIALYSIS INTERNATIONAL, 2018, 22 (02) : 222 - 227
[2] Spontaneous erythrocytosis in a patient on chronic hemodialysis
Adeniyi, Muniru
Sun, Yijuan
Servilla, Karen S.
Hartshorne, Michael F.
Tzamaloukas, Antonios H.
HEMODIALYSIS INTERNATIONAL, 2009, 13 : S30 - S33
[3] DEVELOPMENT OF SPONTANEOUS RENAL HEMORRHAGE ASSOCIATED WITH ACUTE PANCREATITIS IN A PATIENT ON HEMODIALYSIS FOR CHRONIC RENAL FAILURE: A CASE REPORT
Chen, Ya-Wei
Shi, Wen-Ju
Li, Yu-Peng
Gao, Xiu-Mei
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ACTA MEDICA MEDITERRANEA, 2018, 34 (01): : 65 - 69
[4] ESKD in a Young Patient with Chronic Bilateral Flank Pain
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KIDNEY360, 2022, 3 (10): : 1817 - 1818
[5] Chronic Abdominal Pain in a Hemodialysis Patient
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Yen, Tzung-Hai
INTERNAL MEDICINE, 2013, 52 (18) : 2161 - 2161
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CLINICAL NEPHROLOGY, 2008, 69 (03) : 221 - 223
[7] Use of midodrine (Gutron) to treat permanent hypotension in a chronic hemodialysis patient
Montagnac, R
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Schillinger, F
CLINICAL NEPHROLOGY, 2001, 56 (02) : 162 - 168
[8] Pain in the hip: Spontaneous retroperitoneal hemorrhage in an elderly patient on apixaban
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AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2020, 38 (05) : 1046.e1 - 1046.e3
[9] Abdominal Pain and Vomiting in a Patient with Over-anticoagulation - a Rare Case of Spontaneous Intramural Hematoma of the Jejunum
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Nedic, Matej
Gudelj-Gracanin, Ana
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SIGNA VITAE, 2020, 16 (02) : 203 - 206
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Verma, Alka
Chatterjee, Arindam
Srivastava, Devarshi
Riaz, Mohd R.
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WORLD NEUROSURGERY, 2016, 90 : 707.e13 - 707.E16

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