Kawahara Takashi, Kawahara Kimiko, Ito Hiroki, Yamaguchi Satoshi, Mitsuhashi Hiroshi, Makiyama Kazuhide, Uemura Hiroji, Sakai Masashi, Kubota Yoshinobu
Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Case Rep Nephrol Urol. 2011 Jul;1(1):1-6. doi: 10.1159/000330192. Epub 2011 Aug 8.
Dialysis patients have a tendency to bleed, and clinicians sometimes encounter cases with a significant amount of spontaneous hemorrhage. We herein report two cases of spontaneous renal hemorrhage in hemodialysis patients. CASE 1: A 70-year-old male who had received hemodialysis for 8 years presented with right abdominal pain. He had a history of renal failure due to diabetes mellitus. CT showed a right perirenal hemorrhage. Angiography revealed a right renal artery hemorrhage, and catheter embolization was performed. CASE 2: A 76-year-old male who had undergone 7 years of continuous ambulatory peritoneal dialysis and 1 year of hemodialysis presented with right abdominal pain. He had a history of renal failure due to IgA nephropathy. CT showed a right perirenal hemorrhage. He received a blood transfusion and was put on absolute bed rest. At 2 days after admission, his anemia was found to have improved.
透析患者有出血倾向，临床医生有时会遇到大量自发性出血的病例。我们在此报告两例血液透析患者自发性肾出血的病例。病例1：一名接受血液透析8年的70岁男性出现右腹痛。他有因糖尿病导致肾衰竭的病史。CT显示右肾周出血。血管造影显示右肾动脉出血，并进行了导管栓塞术。病例2：一名接受了7年持续性非卧床腹膜透析和1年血液透析的76岁男性出现右腹痛。他有因IgA肾病导致肾衰竭的病史。CT显示右肾周出血。他接受了输血并绝对卧床休息。入院2天后，发现他的贫血有所改善。
