PMC10182722_01
Enhanced CT image of the right kidney
bet-11-102-g001.jpg
PMC10182722_01_bet-11-102-g001.jpg
F1
On the fifth day of hospitalization, the creatinine level dropped to 1.7 mg/dL, and an enhanced abdominopelvic CT scan was performed, which showed a partially enhancing small-size kidney engulfed by a heterogenous lesion causing mass effect surrounded by scattered non-enhancing septa (Figure 1).
Huge hematoma surrounding the right kidney
bet-11-102-g002.jpg
PMC10182722_01_bet-11-102-g002.jpg
F2
A massive hematoma in the retroperitoneum was detected, pushing the liver upward and the ascending and transverse colon anteriorly (Figure 2).
Right kidney with ruptured parenchyma, intrarenal, and perirenal hemorrhage
bet-11-102-g003.jpg
PMC10182722_01_bet-11-102-g003.jpg
F3
A gross evaluation of the kidney revealed extensive hemorrhage and blood clots in the renal parenchyma and perinephric fat (Figure 3).
Chronic pyelonephritis and hemorrhage (H&E stain, x40)
bet-11-102-g004.jpg
PMC10182722_01_bet-11-102-g004.jpg
F4
A microscopic examination was in favor of chronic pyelonephritis with hemorrhage and vascular congestion (Figure 4).