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PERIRENAL HEMATOMA AS A COMPLICATION OF RENAL INFARCTION IN SICKLE-CELL TRAIT

A CASE REPORT

EDWARD A. SICKLES M.D. and MELVYN KOROBKIN M.D.1

1 James Picker Foundation Scholar in Radiological Research.

Accurate preoperative diagnosis of spontaneous perirenal hematoma is often difficult, especially if the clinical presentation is atypical.

Roentgenographic evaluation will demonstrate an enlarged, poorly functioning, or nonfunctioning kidney that may be compressed or displaced by a nonopacifying mass. Nephrotomography can often aid in locating the mass in the perinephric space, but usually renal arteriography is the definitive diagnostic procedure.

Our case of perirenal hematoma due to renal infarction illustrates the features which distinguish the infarction secondary to sickle-cell trait from the much more common embolic type.*


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