What is it about?
Spontaneous perirenal hemorrhage (SPH) or Wunderlich syndrome, is a rare butpotentially life-threatening condition. We report a total of three cases of SPH in hemodialysis (HD) patients. We are aware that HD patients have elevated risk of bleeding related complications,additionally the presence of an acute abdominal pain increases the suspicion of SPH as a possiblecause.
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Why is it important?
We are aware that HD patients have elevated risk of bleeding related complications, additionally the presence of an acute abdominal pain increases the suspicion of SPH as a possible cause. ACKD can be considered one of the possible risk factors for SPH in long-term HD patients. Interventional treatment for kidney injury is useful and safe for active bleeding in most cases.
Perspectives
I hope this article reminds doctors that SPH should be considered when they meet some patients presence of an acute abdominal pain.
Yun Xie
Xin Hua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China
Read the Original
This page is a summary of: Spontaneous perirenal hemorrhage in hemodialysis patient treated with selective embolization: A case series and review of the literature, Hemodialysis International, November 2017, Wiley,
DOI: 10.1111/hdi.12607.
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