Spontaneous Kidney Bleed after Acute Coronary Syndrome Treatment
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 4
Abstract
Spontaneous kidney bleed is a rare condition. Renal tumors are the most common cause of bleeding whereas anticoagulant and antiplatelet therapy are some of the less common causes. We present a case of a 72 year old male patient with acute coronary syndrome (ACS), who developed massive painless hematuria after ACS treatment. He was found to have spontaneous right pelvical iceal bleed by computed tomography (CT). The patient was successfully treated conservatively.Spontaneous kidney bleed is a diagnostic dilemma. It is a rare condition in clinical practice. Although lots of research has been done in this subject, still it remains elusive. The most common cause of bleeding are benign and malignant renal tumors, especially angiomyolipomas and renal cell carcinoma [1-3]. Other known causes are long term hemodialysis, arteriosclerosis or arthritis, renal infections and vascular lesions. Renal cysts, blood dyscrasias or anticoagulant and antiplatelet therapy are some of the less common causes [4]. Antithrombotic therapy plays a cornerstone role in the therapy of ACS. One of the most feared and serious complication of enoxaparin is retroperitoneal hemorrhage which accounts for about 5% of enoxaparin induced complications [5]. Age over 65 years, renal insufficiency, and concomitant use of aspirin are some known risk factors for retroperitoneal hemorrhage with enoxaparin [6,7].
Authors and Affiliations
Nahla A M Hamed
Keywords
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- EP ID EP566625
- DOI 10.26717/BJSTR.2017.01.000325
- Views 197
- Downloads 0
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