title: Renal hematoma: an unusual cause of acute abdomen and fetal demise in severe pre-eclampsia.
abstract: Retroperitoneal hematoma occurs rarely in an obstetric patient. Renal hematoma may present with signs and symptoms, which may mimic the clinical presentation of abruptio placentae or rupture uterus. Although renal hematoma is sometimes a surgical emergency due to hypovolemic shock, conservative management by angiographic embolization may be done. Timely diagnosis and management is required to decrease the maternal mortality and morbidity. We hereby report a case of spontaneous renal hematoma in a patient with severe pre-eclampsia who presented with acute abdomen and intrauterine fetal death.
authors.affiliation: Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Sector-12, Chandigarh, India.
authors.forename: Anish
authors.initials: A
authors.lastname: Keepanasseril
authors.forename: Rashmi
authors.initials: R
authors.lastname: Bagga
authors.forename: Shalini
authors.initials: S
authors.lastname: Gainder
authors.forename: Subhash Chandra
authors.initials: SC
authors.lastname: Saha
authors.forename: Lakhbir Kaur
authors.initials: LK
authors.lastname: Dhaliwal
authors.forename: Anupam
authors.initials: A
authors.lastname: Lal
authors.forename: Mayank Mohan
authors.initials: MM
authors.lastname: Agarwal
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000037:Abruptio Placentae; D000328:Adult; D000792:Angiography; D003937:Diagnosis, Differential; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D005500:Follow-Up Studies; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D009392:Nephrectomy; D011225:Pre-Eclampsia; D011247:Pregnancy; D014057:Tomography, X-Ray Computed