Systemic lupus erythematosus (SLE) is disease of unknown etiology characterized by inflammation in many different organ systems associated with the production of antibodies reactive with nuclear, cytoplasmic, and cell membrane antigerns.
The variable ; severity and extent of involvement in SLE dictate individualized treatment. The degeneration of vessel, thrombocytopenia, prolongation of PTT, and antibodies react with clotting facters Ⅷ,Ⅸ,XI, XII, XIII may be responsible for
clinically important bleeding.
A few athors reported spontaneous intracranial and pulmonary hemorrhage in SLE patient.
We reported a case of SLE associated with massive subcapsular renal hemorrhage which had developed without any recent trauma.
A 31-year-old female suddenly developed from a severe left flank pain, general weakness and high fever. She had a progressive anemia and a growing palpable left abdominal mass on admission.
Ultrasonography showed left huge renal mass and abdominal CT scans revealed marked enargement of the left kidney with massive supcabsular hemorrhage and extension into retropertioneal space. There were neither evidence of trauma nor trial of
reanl
biopsy which might have led to the development of perirenal hematoma.
Four weeks later subcapsular renal hematoma was removed out with left flank incision.
|