[Spontaneous perinephric hematoma in a case of AIDS].
OBJECTIVE
To review the wide spectrum of urological manifestations in the HIV-infected population.


METHODS
We report a case of spontaneous perinephric hematoma (non-traumatic) in a young male drug user with HIV infection. The patient was submitted to emergency nephrectomy after acute bleeding secondary to a subcapsular hematoma. He had no previous history of trauma.


RESULTS
No underlying disorder was found and it is not known if the association with HIV infection is merely casual or not. This is an uncommon condition that is usually secondary to benign or malignant renal tumors, vascular anomalies and inflammatory disorder. In some cases, however, the underlying cause is never found.


CONCLUSIONS
It must be emphasized that HIV-infected patients may consult for diverse urological disorders whose differential diagnosis may be difficult to establish.
Sánchez-Chapado
M
M
Servicio de Urología, Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, España.
Angulo Cuesta
J
J
Guil Cid
M
M
Dehaini
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D006406:Hematoma / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous