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Nephrol Dial Transplant (2002) 17: 1832-1835
© 2002 European Renal Association-European Dialysis and Transplant Association

Case Reports

Rectus sheath haematomata in patients with renal disease

Satishkumar A. Jayawardene and David J. A. Goldsmith

Renal Unit, Guy's Hospital, London, UK

Keywords: anti-coagulation; cardiovascular; elderly; end-stage renal failure; rectus sheath haematomata

The first 10% of the full text of this article appears below.



   Introduction
 
Rectus sheath haematomata (RSH) are very rarely described—and especially unusual in the renal literature. We present three cases of severe RSH in three clinical settings—one complicating nephrotic syndrome, one after insertion of a peritoneal dialysis cannula, and one in a haemodialysis patient.



   Case 1
 
An 81-year-old Caucasian female was diagnosed with nephrotic syndrome and renal impairment (oedema, albumin 33 g/l (NR 35–46 g/l); 24 h protein 2.25 g; creatinine 166 µmol/l). Her renal function rapidly worsened (urea 40.6 mmol/l and serum creatinine 384 µmol/l). A renal biopsy minimal change glomerulopathy. Her blood clotting studies were normal, although plasma fibrinogen was elevated (6.7 g/l (NR 2.0–4.0 g/l)). She was started on 40 mg prednisolone once a day. There was a prompt diuresis and renal function improved over 2 weeks to a urea level of 30.2 mmol/l and a . . . [Full Text of this Article]



   Case 2
 


   Case 3
 


   Discussion
 

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