PMC6593925_01
Computed tomography angiography scan of abdomen (axial view) showing retroperitoneal hematoma in the left suprarenal fossa causing mass effect on the left renal parenchyma.
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Computed tomography (CT) scan of his abdomen and pelvis was obtained, which showed large acute retroperitoneal hematoma extending into the left suprarenal fossa and left hemi pelvis anteriorly displacing the left renal parenchyma (Figures 1 and 2).
Computed tomography angiography scan of abdomen (coronal) showing retroperitoneal hematoma in the left suprarenal fossa and retroperitoneum extending into the left hemipelvis.
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PMC6593925_01_10.1177_2324709619858120-fig2.jpg
fig2-2324709619858120
Computed tomography (CT) scan of his abdomen and pelvis was obtained, which showed large acute retroperitoneal hematoma extending into the left suprarenal fossa and left hemi pelvis anteriorly displacing the left renal parenchyma (Figures 1 and 2).
Left renal artery arteriogram showing multiple aneurysms.
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PMC6593925_01_10.1177_2324709619858120-fig3.jpg
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Interventional radiology was consulted who did an arteriogram that showed multiple bilateral renal artery aneurysms (Figures 3 and 4) and active extravasation present from L2 segmental artery trunk, findings consistent with polyarteritis nodosa (PAN), which was embolized that secured the bleeding, and the patient was started on prednisone 60 mg daily.
Right renal artery arteriogram showing multiple aneurysms.
10.1177_2324709619858120-fig4.jpg
PMC6593925_01_10.1177_2324709619858120-fig4.jpg
fig4-2324709619858120
Interventional radiology was consulted who did an arteriogram that showed multiple bilateral renal artery aneurysms (Figures 3 and 4) and active extravasation present from L2 segmental artery trunk, findings consistent with polyarteritis nodosa (PAN), which was embolized that secured the bleeding, and the patient was started on prednisone 60 mg daily.