Konno Halleluyah, Nitta Masakazu, Iwafuchi Yoichi, Oyama Yuko, Watanabe Norihiro
Emergency Medicine, Kenoh Kikan Hospital, Sanjo, JPN.
Internal Medicine, Kenoh Kikan Hospital, Sanjo, JPN.
Cureus. 2025 Feb 5;17(2):e78532. doi: 10.7759/cureus.78532. eCollection 2025 Feb.
Spontaneous retroperitoneal hemorrhage is a rare condition with a poor prognosis. It is usually treated conservatively unless vital signs are unstable. We report a case of a 60-year-old male patient with acquired cystic kidney disease who presented to ED due to continuous left lower abdominal pain. His vital signs were normal, and a physical examination revealed tenderness in the lower left abdomen. CT revealed a hematoma with extravasation around the left kidney. He was treated conservatively due to stable vital signs and laboratory data. However, a decrease in the hemoglobin level and an increase in hematoma were observed, and blood transfusion and transcatheter arterial embolization were performed on the second day of admission. In such cases, early embolization should be considered even when the patient's general condition is stable.
自发性腹膜后出血是一种罕见疾病，预后较差。除非生命体征不稳定，通常采用保守治疗。我们报告一例60岁男性获得性多囊肾病患者，因持续左下腹痛就诊于急诊科。其生命体征正常，体格检查发现左下腹压痛。CT显示左肾周围有血肿伴造影剂外渗。由于生命体征和实验室数据稳定，对其进行了保守治疗。然而，观察到血红蛋白水平下降且血肿增大，入院第二天进行了输血和经导管动脉栓塞术。在这种情况下，即使患者一般情况稳定，也应考虑早期栓塞治疗。
