Embolization of a bleeding aneurysm in a patient with spontaneous perirenal haematoma due to Polyarteritis nodosa.
OBJECTIVE
To report a rare case of a Spontaneous perirenal haematoma due to Polyarteritis nodosa treated with a selective embolización of the bleeding aneurysm. Polyarteritis nodosa (PAN) is one of a spectrum of diseases thet belongs to the pathologic category of necrotizing vasculitis. Spontaneous perirenal haematoma (SPH) is an unusual complication of PAN.


METHODS
We are introducing a patient with SPH due to PAN.


RESULTS
The patient was treated with embolization of a left renal bleeding aneurysm of the upper interlobar artery. Pan is the most frequent vascular disease associated with spontaneous renal hematoma. Therefore the diagnosis may be difficult to determine.


CONCLUSIONS
A selective embolization of the bleeding aneurysm is a therapeutical maneuver to be considered.
Hidalgo
Jorge
J
Department of Urology, Fundació Puigvert, Barcelona, Spain. hidaRRO@hotmail.com
Crego
Marc
M
Montlleo
Maria
M
de la Torre
Pablo
P
Bover
Jordi
J
Caparrós
Joan
J
Villavicencio
Humberto
H
D000328:Adult; D000783:Aneurysm / Q000150:complications*; D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D010488:Polyarteritis Nodosa / Q000150:complications*; D012077:Renal Artery