title: [Splenic subcapsular hematoma and long-term hemodialysis].
abstract: Uremic patients, or those on maintenance hemodialysis, are at increased risk for spontaneous bleeding. Manifestations include retroperitoneal, costal, hepatic, renal, pericardial, mediastinal and subdural hemorrhages. We describe 2 patients on chronic hemodialysis, a 45-year-old man and a 50-year-old woman. Each developed a subcapsular hematoma of the spleen, diagnosed by sonography and CT scan. They were conservatively managed by low-dose heparin, bed rest and careful monitoring. Frequently repeated ultrasound and CT scans demonstrated complete resolution of the hematomas after 2 and 4 months, respectively.
authors.affiliation: Dept. of Nephrology, Meier Hospital, Kfar Saba.
authors.forename: Z
authors.initials: Z
authors.lastname: Korzets
authors.forename: M
authors.initials: M
authors.lastname: Witz
authors.forename: I
authors.initials: I
authors.lastname: Erez
authors.forename: N
authors.initials: N
authors.lastname: Shneider
authors.forename: J
authors.initials: J
authors.lastname: Bernheim
mesh_terms: D001510:Bed Rest; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D012307:Risk Factors; D013158:Splenic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D006493:Heparin