• Am J Emerg Med · Sep 2018

    Case Reports

    Hematuria as the only symptom at initial presentation of hypovolemic shock caused by ruptured renal arteriovenous malformations.

    • Yi-Jui Chang, Chu-Chung Chou, Chin-Fu Chang, and Yan-Ren Lin.
    • Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
    • Am J Emerg Med. 2018 Sep 1; 36 (9): 1716.e5-1716.e7.

    AbstractGross hematuria is a very common complaint in emergency departments and outpatient clinics. Globally, the incidence of hematuria is 4 per 1000 patients per year. Infection, urolithiasis, and neoplasm are the most common etiologies. However, hematuria rarely causes hypovolemic shock or an emergent, life-threatening condition at the initial presentation. In this report, we describe the case of a 64-year-old man who suffered a life-threatening gross hematuria in a very short time due to ruptured renal arteriovenous malformations (AVMs).Copyright © 2018 Elsevier Inc. All rights reserved.

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