Lee Seong K, Carrillo Eddy, Rosenthal Andrew, Sanchez Rafael, Pepe Antonio, Abrahams Neil, Ruyani Behruze
Memorial Regional Hospital, Hollywood, USA.
J Surg Case Rep. 2010 Oct 1;2010(8):2. doi: 10.1093/jscr/2010.8.2.
A 53 year-old-male patient presented with 24 hours of left flank pain. He was an undiagnosed HIV positive individual with no history of trauma. He was anaemic and in acute renal failure with a serum creatinine of 4.14 mg/dL. A CT scan demonstrated a left perinephric capsular haematoma with retroperitoneal stranding. Due to haemodynamic instability, the patient was taken to the operating room and a nephrectomy was performed. Post-operatively, the patient required temporary haemodialysis. Pathologic examination of the specimen demonstrated active infection with a haematoma surrounding a fistulous tract communicating with the capsular surface. Infection is a rare cause of non-traumatic capsular hematomas of the kidney.
一名53岁男性患者出现左侧胁腹疼痛24小时。他是一名未确诊的HIV阳性个体，无外伤史。他贫血且处于急性肾衰竭状态，血清肌酐为4.14mg/dL。CT扫描显示左肾周包膜下血肿伴腹膜后条索状影。由于血流动力学不稳定，患者被送往手术室并接受了肾切除术。术后，患者需要进行临时血液透析。标本的病理检查显示有活动性感染，血肿周围有一瘘管与包膜表面相通。感染是肾非创伤性包膜下血肿的罕见原因。
