Abstract
We report a 64-year-old male on chronic hemodialysis for 12 years, who was complicated by spontaneous renal rupture and diverticulitis. The patient had a history of recurrent diverticulitis since 2002. In February 2003, the patient developed tarry stool, progression of anemia and abdominal pain. Additionally, a tender mass measuring 5cm×7cm was palpable in the left abdomen. He was referred to our hospital for further examination. On enhanced computed tomography (CT) of the abdomen, a large hematoma was demonstrated in the region of the left kidney. Renal arteriogram confirmed the presence of hemorrhage from the left renal artery and angioembolization was performed. Colon fibers showed numerous diverticula and coagulations. The source of melena was not evident, but diverticulitis was highly suspected. When hemodialysis patients develop abdominal pain, renal rupture should be considered as part of the differential diagnosis as well as gastroenterological lesion.
