摘要
<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric hematoma with no associated pa</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">thology or provocation is a rare clinical phenomenon. The hematoma requires a two</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Aims:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year follow up. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Case Presentation:</span><span style="font-family:Verdana;"></span></strong></b></span><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Conclusion:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">The acute management strategy is favorable in such condition, as the hematoma remains under tam</span><span style="font-family:Verdana;">ponade in the retroperitoneal space, regardless of the size and organ dis</span><span style="font-family:Verdana;">placement. Closed observation, serial blood investigation and repeated CT scans are vital to assist in the decision to intervene.</span></span>
<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric hematoma with no associated pa</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">thology or provocation is a rare clinical phenomenon. The hematoma requires a two</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Aims:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year follow up. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Case Presentation:</span><span style="font-family:Verdana;"></span></strong></b></span><span style="font-family:Verdana;"> 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. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Conclusion:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">The acute management strategy is favorable in such condition, as the hematoma remains under tam</span><span style="font-family:Verdana;">ponade in the retroperitoneal space, regardless of the size and organ dis</span><span style="font-family:Verdana;">placement. Closed observation, serial blood investigation and repeated CT scans are vital to assist in the decision to intervene.</span></span>
作者
Lit Kiat Tan
George Eng Geap Lee
Lit Kiat Tan;George Eng Geap Lee(International Medical University, Bukit Jalil, Malaysia;Monash University Sunway Campus, Bandar Sunway, Malaysia)