Spontaneous perirenal hematoma - A case report and review of literature

Spontaneous perirenal hematoma (SPH) is a clinical entity that poses a diag nostic and therapeutic challenge, We report a case of SPH in an adult where the cause could not be determined at first presentation, even with compute d tomography (CT) of the abdomen and angiography. He was under close follow -up, and it was only with a repeat CT scan after 3 months that a mass lesio n in the kidney was identified as the underlying cause. We also present a r eview of the literature so that a logical approach can be adopted for this problem, Copyright (C) 2000 S. Karger AG, Basel.