case_images: PMC4996598_01
case_images: CT scan of abdomen and pelvis with IV contrast axial section showing perinephric hematoma, which deformed and compressed the kidney anteriorly. Arrow points to an area of active extravasation of contrast within the hematoma. Arrow head points to 1.1 cm obstructive proximal ureteral stone. Marked left perinephric stranding was noted. CT, computed tomography.
case_images: fig-1.jpg
case_images: PMC4996598_01_fig-1.jpg
case_images: f1
case_images: A computed tomography (CT) scan of the abdomen/pelvis with intravenous contrast showed a large intracapsular hematoma (13.3 x 10.0 cm), which deformed and compressed the kidney anteriorly (Figs. 1 and 2). The proximal left ureter was dilated (Figs. 1 and 2).
case_images: CT scan of abdomen and pelvis with IV contrast coronal section showing perinephric hematoma, nonobtructive lower pole 6 mm stone and 1.1 cm obstructive proximal ureteral stone (arrow heads). Marked left perinephric stranding with extension of extracapsular hematoma to distal aorta, iliac vessels, and presacral space was noted.
case_images: fig-2.jpg
case_images: PMC4996598_01_fig-2.jpg
case_images: f2
case_images: A computed tomography (CT) scan of the abdomen/pelvis with intravenous contrast showed a large intracapsular hematoma (13.3 x 10.0 cm), which deformed and compressed the kidney anteriorly (Figs. 1 and 2). Marked left perinephric stranding with extension of the extracapsular hematoma to the distal aorta, iliac vessels, presacral space, and along the left prerenal space was seen (Fig. 2). The proximal left ureter was dilated (Figs. 1 and 2).
case_images: Gross photograph of the bivalved left kidney. Arrow points to interpolar area of parenchymal rupture at the lateral aspect of the kidney.
case_images: fig-3.jpg
case_images: PMC4996598_01_fig-3.jpg
case_images: f3
case_images: During the exploration, active bleeding was encountered with a (2.4 x 2.0 cm) shaggy defect at the interpolar lateral aspect of the kidney (Fig. 3).
case_images: Rupture of renal cortex with acute hemorrhage within and surrounding the defect.
case_images: fig-4.jpg
case_images: PMC4996598_01_fig-4.jpg
case_images: f4
case_images: Histopathologic examination of the kidney showed acute and chronic interstitial and intratubular inflammatory infiltrate with acute hemorrhage with no evidence of malignancy (Fig. 4).