Spontaneous bilateral rupture of kidneys in a patient with polyarteritis nodosa. A case report.
A previously well 42-year-old man presented with a three-hour history of pain in the right flank of acute onset. At laparotomy he was found to have a ruptured right kidney which was treated by nephrectomy. Eight days later he developed similar symptoms on the left: at operation 21 of blood were drained and nephrostomy and catheterisation carried out. He recovered after a complicated postoperative course, and histological examination of the removed kidney, and biopsy specimens, showed classic polyarteritis nodosa. This is a rare cause of spontaneous rupture of the kidney but must be considered whenever a patient presents with renal haemorrhage of unknown cause.
San
A
A
Department of Internal Medicine, Atatürk University Research Hospital, Erzurum, Turkey.
Aydin
N E
NE
Akçay
G
G
Selçuk
Y
Y
Okyar
G
G
D015746:Abdominal Pain / Q000473:pathology; D000328:Adult; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology*; D008297:Male; D009336:Necrosis; D010488:Polyarteritis Nodosa / Q000473:pathology*; D012422:Rupture, Spontaneous; D012771:Shock, Hemorrhagic / Q000473:pathology