Presentation
Sudden onset abdominal pain. No trauma.
Patient Data
Age: 75 years
Gender: Male
From the case:
Subcapsular perirenal hematoma
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Subcapsular left perinephric hematoma. At the left upper pole is the impression of a 2.8 cm hyperdense renal mass with a cortical defect. Delayed left nephrogram with no excretion of contrast on the 2 min delay. 1.5 cm left upper pole simple renal cyst.
Right kidney has a normal appearance with non-specific perinephric fat stranding.
Right inguinal hernia containing non-obstructed cecum.
Case Discussion
Spontaneous subcapsular perirenal hematomas do occur, however, an underlying lesion should not be discounted and follow-up imaging may be of benefit if there is an unclear cause.
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