title: Major spontaneous renal haemorrhage as an unusual complication of systemic amyloidosis.
abstract: We report the case of a patient with systemic amyloidosis who developed a life-threatening spontaneous haemorrhage from an amyloid kidney. A review of the literature suggests that this is a rare complication of renal amyloidosis. However, the grossly abnormal renal angiography observed in our patient has previously been described in the literature. Therefore, spontaneous renal haemorrhage should be considered a risk in any systemic amyloid patient, especially in the differential diagnosis for those patients with the condition who present with an acute abdomen.
authors.affiliation: Renal Department, Salford Royal NHS Foundation Trust, Salford, UK. Joanna.dunlop@srft.nhs.uk
authors.forename: Joanna
authors.initials: J
authors.lastname: Dunlop
authors.forename: Alistair
authors.initials: A
authors.lastname: Cowie
authors.forename: Philip A
authors.initials: PA
authors.lastname: Kalra
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000686:Amyloidosis / Q000150:complications*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011859:Radiography