Case of spontaneous hematoma of the renal compartment resulting in hemorrhagic shock: A unique presentation in urology

Abstract

Hemorrhagic shock from spontaneous retroperitoneal hematoma of renal origin is a rare condition, and there are few publications on this subject. We present the case of a 60-year-old obese patient who experienced hemorrhagic shock from a right renal subcapsular hematoma that had ruptured into the retroperitoneum after initiation of anticoagulant treatment for acute pulmonary edema in the context of recurrent paroxysmal atrial fibrillation. The CT scan revealed a retroperitoneal hematoma and a possible hemorrhagic cyst in the right kidney. An emergency nephrectomy was necessary for hemostasis. The histology of the nephrectomy specimen confirmed the diagnosis of renal cell carcinoma.