Flank Pain, Nausea, Vomiting and Hypotension in a Chronic Hemodialysis Patient with a Spontaneous Perirenal Hemorrhage

Yusuke Igarashi, Tetsu Akimoto, Akinori Nukui, Hiroyasu Nakamura, Akira Kawai, Shigeyoshi Kijima, Taro Kubo, Hideharu Sugimoto, Tatsuo Morita, Eiji Kusano
2013 Internal medicine (Tokyo. 1992)  
Decreases in blood pressure develop in response to a wide range of clinical disorders. Various factors have been implicated in the development of hemodialysis-associated hypotension, including an impairment of the compensatory processes, an autonomic dysfunction or cardiac failure. The additional presence of concomitant acute abdomen may result in a diagnostically challenging situation. We herein report our experience with a chronic hemodialysis patient who developed severe hypotension with
more » ... e flank pain due to spontaneous bleeding around the kidney. Concerns regarding the management of the disease are also discussed.
doi:10.2169/internalmedicine.52.0242 pmid:24042517 fatcat:pr7pweybwnf7xk4aqnjew5hmly