Perinephric hematoma in a maintenance hemodialysis patient: A case report

Abstract

A 54-year-old male patient, receiving maintenance hemodialysis for 8 years, is reported. Acquired cystic disease of the kidney (ACDK) had already been detected by routine abdominal imaging procedures. The patient complained of severe left flank pain and was admitted to our hospital. CT scanning revealed massive left perinephric hematoma. We performed transcatheter arterial embolization of the left renal artery but there was no renal tumor detected by abdominal imaging procedures, such as angiography, CT and MRI. The posttreatment course was uneventful and the patient continues to be maintained on hemodialysis.