特発性腎出血に見られた腎自然破裂の1例

Abstract

A case of spontaneous rupture of the left kidney resulting in nearly fatal massive retroperitoneal hemorrhage in a 40-year-old woman with essential renal bleeding has been experienced. She had been suffered from gross hematuria for one year and given some hemostatics for renal bleeding. She was admitted with severe hematuria and left flank pain without any previous trauma. Nine days later, she developed marked shock and immediate left nephrectomy was performed. The kidney had a 4 cm laceration in the upper part of parenchyma. But microscopic findings of the kidney revealed neither malignancy nor specific vascular disease. Most cases of spontaneous rupture always have some pathologic conditions, however this case indicates that renal rupture can occur even in almost normal kidney.