Infected perinephric haematoma

Case contributed by Dr Ian Bickle


Known renal stone disease. Sudden onset left flank pain. Infection?

Patient Data

Age: 60 years
Gender: Female

2cm depth left perinephric haematoma (HU 60) with several small foci of gas within. Small amount of gas in the renal parenchyma. The left kidney is displaced anteromedially.  Perinephric stranding.

Bilateral nephrolithiasis.  No ureteric stone.  No hydronephrosis.

Small amount of blood in the pelvis.


Case Discussion

In this case, no given history of intervention pro-offered (Eg, PCNL, lithotripsy or attempted aspiration) to explain the haemorrhage and perinephric gas.

The gas in largely within the perinephric haematoma, not the renal parenchyma.   The HU is indicative of blood and an attempted aspiration also yielded a small volume of clotted blood.

Spontaneous perinephric haematomas may occur.  The gas relates to secondary infection.

Aspiration and subsequent culture grew Staphalococcus.


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Case information

rID: 58550
Published: 25th Feb 2018
Last edited: 28th Feb 2018
System: Urogenital
Tag: ripas2
Inclusion in quiz mode: Included

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