SPONTANEOUS RENAL PSEUDOANEURYSM RUPTURE PRESENTING AS ACUTE INTRAABDOMINAL HEMORRHAGE

A 39-year-old man With a known history of end-stage renal disease pres ented with hypovolaemic shock and acute abdominal pain, Blood-stained peritoneal fluid was present, Right perirenal and extensive mesenteric haematomas a ere seen al laparotomy and CT. Right renal arteriography demonstrated a small renal artery pseudoaneurysm, and embolization wa s performed. The patient later developed intractable sepsis and died d espite nephrectomy anti drainage of the infected haematomas, Although there is an increasing trend towards conservative management of sponta neously ruptured kidneys from benign causes, embolization followed by early surgery should be considered in cases of extensive intraabdomina l haemorrhage.