Open AccessSpontaneous peri-nephric hematoma in a patient with acute kidney injury following Russell′s viper envenomation
Author(s) -
Vishal Golay,
Arpita Roychowdhary,
Rajendra Pandey
Publication year - 2015
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.152500
Subject(s) - envenomation , medicine , viper , coagulopathy , disseminated intravascular coagulation , acute kidney injury , complication , hematoma , surgery , kidney disease , venom , ecology , biology
Snake bite envenomation is a common cause of acute kidney injury (AKI) in the tropics and severe coagulopathy with bleeding manifestations is usually seen, especially with viperine bites. We present a case of a 34-year-old male who had developed AKI following Russell's viper envenomation along with disseminated intravascular coagulation. The patient was seemingly improving during the course of his treatment but subsequently developed a spontaneous unilateral peri-nephric hematoma and finally succumbed to this complication. This is a rare presentation that can be clinically innoccuous in a disease where there are multiple bleeding manifestations and, carries a very poor outcome.