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Perinephric Hematoma
Gayatri Joshi, MD, FAIUM
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Hemorrhagic collection in perinephric spaces: Subcapsular, perirenal, anterior, and posterior pararenal

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • Radiographic Findings

                    • CT Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Chien LC et al: The American Association for the Surgery of Trauma organ injury scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist. Emerg Radiol. 27(1):63-73, 2020
                                      2. Hosein M et al: Coming together: a review of the American Association for the Surgery of Trauma's updated kidney injury scale to facilitate multidisciplinary management. AJR Am J Roentgenol. 213(5):1091-9, 2019
                                      3. Baghdanian AH et al: Utility of MDCT findings in predicting patient management outcomes in renal trauma. Emerg Radiol. 24(3):263-72, 2017
                                      4. Chong ST et al: Renal trauma: imaging evaluation and implications for clinical management. Abdom Radiol (NY). 41(8):1565-79, 2016
                                      5. Kozminski MA et al: Symptomatic subcapsular and perinephric hematoma following ureteroscopic lithotripsy for renal calculi. J Endourol. 29(3):277-82, 2015
                                      6. Lee SW et al: Experience of ultrasonography-guided percutaneous core biopsy for renal masses. Korean J Urol. 54(10):660-5, 2013
                                      7. Sunga KL et al: Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 43(2):e157-61, 2012
                                      8. Chan YC et al: Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery? Int J Clin Pract. 62(10):1604-13, 2008
                                      9. Shih WJ et al: Spontaneous subcapsular and intrarenal hematoma demonstrated by various diagnostic modalities and monitored by ultrasonography until complete resolution. J Natl Med Assoc. 92(4):200-5, 2000
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Hemorrhagic collection in perinephric spaces: Subcapsular, perirenal, anterior, and posterior pararenal

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Chien LC et al: The American Association for the Surgery of Trauma organ injury scale 2018 update for computed tomography-based grading of renal trauma: a primer for the emergency radiologist. Emerg Radiol. 27(1):63-73, 2020
                                                                          2. Hosein M et al: Coming together: a review of the American Association for the Surgery of Trauma's updated kidney injury scale to facilitate multidisciplinary management. AJR Am J Roentgenol. 213(5):1091-9, 2019
                                                                          3. Baghdanian AH et al: Utility of MDCT findings in predicting patient management outcomes in renal trauma. Emerg Radiol. 24(3):263-72, 2017
                                                                          4. Chong ST et al: Renal trauma: imaging evaluation and implications for clinical management. Abdom Radiol (NY). 41(8):1565-79, 2016
                                                                          5. Kozminski MA et al: Symptomatic subcapsular and perinephric hematoma following ureteroscopic lithotripsy for renal calculi. J Endourol. 29(3):277-82, 2015
                                                                          6. Lee SW et al: Experience of ultrasonography-guided percutaneous core biopsy for renal masses. Korean J Urol. 54(10):660-5, 2013
                                                                          7. Sunga KL et al: Spontaneous retroperitoneal hematoma: etiology, characteristics, management, and outcome. J Emerg Med. 43(2):e157-61, 2012
                                                                          8. Chan YC et al: Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery? Int J Clin Pract. 62(10):1604-13, 2008
                                                                          9. Shih WJ et al: Spontaneous subcapsular and intrarenal hematoma demonstrated by various diagnostic modalities and monitored by ultrasonography until complete resolution. J Natl Med Assoc. 92(4):200-5, 2000