Rectus sheath haematomata in patients with renal disease. |
| |
| Authors: | Satishkumar A Jayawardene David J A Goldsmith |
| |
| Affiliation: | Renal Unit, Guy's Hospital, London, UK. |
| |
| Abstract: | | Introduction | Rectus sheath haematomata (RSH) are very rarely describedandespecially unusual in the renal literature. We present threecases of severe RSH in three clinical settingsone complicatingnephrotic syndrome, one after insertion of a peritoneal dialysiscannula, and one in a haemodialysis patient. Case 1 | An 81-year-old Caucasian female was diagnosed with nephroticsyndrome and renal impairment (oedema, albumin 33 g/l (NR 3546g/l); 24 h protein 2.25 g; creatinine 166 µmol/l). Herrenal function rapidly worsened (urea 40.6 mmol/l and serumcreatinine 384 µmol/l). A renal biopsy minimal changeglomerulopathy. Her blood clotting studies were normal, althoughplasma fibrinogen was elevated (6.7 g/l (NR 2.04.0 g/l)).She was started on 40 mg prednisolone once a day. There wasa prompt diuresis and renal function improved over 2 weeks toa urea level of 30.2 mmol/l and a
| |
| Keywords: | anti-coagulation cardiovascular elderly end-stage renal failure rectus sheath haematomata |
| 本文献已被 Oxford 等数据库收录！ |
|
