OBJECTIVE To report a rare case of a Spontaneous perirenal haematoma due to Polyarteritis nodosa treated with a selective embolización of the bleeding aneurysm. Polyarteritis nodosa (PAN) is one of a spectrum of diseases thet belongs to the pathologic category of necrotizing vasculitis. Spontaneous perirenal haematoma (SPH) is an unusual complication of PAN. METHODS We are introducing a patie...

The cases of two patients with chronic myelomonocytic leukaemia associated with periarteritis nodosa-like, antineutrophil cytoplasmic antibody negative, systemic vasculitis, are reported. A 61 year old man was admitted with fever, diffuse myalgia, and abdominal pain. Blood and bone marrow examination showed chronic myelomonocytic leukaemia. Vasculitis of the gall bladder was responsible for aca...

Renal replacement lipomatosis can be defined as the proliferation of fibrofatty tissue which subsequently replace renal parenchyma. It is usually benign unilateral and occurs a result severe atrophy or destruction parenchyma, due to calculus with secondary sinus, hilus, perirenal fatty variable extent. A 55yr old female presented surgeon history ofpain swelling in right flank. On CECT abdomen t...

We report fatty acid composition in perirenal and buttock adipose tissue in 714 deceased black and white men aged 25-44 yr in New Orleans. Percent saturated fatty acids were higher (p less than 0.001) whereas percent monounsaturated fatty acids were lower (p less than 0.001) in perirenal than in buttock fat. Percent linoleic acid was similar in both races. We conclude that dietary intake of lin...

Spontaneous renal hemorrhage is an unusual and severe complication of urinary tract infection. A 73-year-old woman with diabetic nephropathy was admitted with fever and intermittent abdominal pain for one day. She had pyuria and was treated for a presumed urinary tract infection. Initial abdominal ultrasonography showed only bilateral renal atrophy. Subsequently, she developed more severe abdom...

Received April 2008 Accepted April 2009 INTRODUCTION Urinoma or pararenal pseudocyst is defined as an encapsulated collection of extravasated urine in the perirenal space. Extravasation of urine into the perirenal fat triggers lipolysis and inflammatory reactions, which lead to formation of a fibrous sac around the collected urine.(1) Urinomas occur most commonly following trauma to the kidneys...

We report a 50-year-old man with poorly controlled diabetes mellitus who presented with a painful, swollen right leg. He had also experienced right flank pain for 1 week prior to admission. Physical examination was notable for tenderness over the right flank. The right leg was diffusely swollen and exquisitely tender to touch, with palpable crepitance. Laboratory tests revealed leukocytosis and...