RESUMEN

BACKGROUND: Patients with end-stage renal disease (ESRD) often present to the Emergency Department with a multitude of complaints. Abnormal vital signs and a chief complaint of pain can produce a diagnosis ranging from a cardiac etiology to an infectious source. OBJECTIVES: Our goal is to discuss a case in which an ESRD dialysis patient presented with a rare, life-threatening emergency. CASE REPORT: A 55-year-old man with ESRD presented with acute abdominal pain and hypotension caused by a spontaneous retroperitoneal hemorrhage. CONCLUSION: This case report demonstrates the necessity of having broad differential diagnoses when evaluating patients with ESRD.

Asunto(s)

Hemorragia/diagnóstico , Diálisis Renal , Espacio Retroperitoneal , Dolor Abdominal/etiología , Servicio de Urgencia en Hospital , Hematoma/diagnóstico por imagen , Hematoma/cirugía , Hemorragia/terapia , Humanos , Hipotensión/etiología , Fallo Renal Crónico/terapia , Masculino , Persona de Mediana Edad , Espacio Retroperitoneal/diagnóstico por imagen , Espacio Retroperitoneal/cirugía , Tomografía Computarizada por Rayos X