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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2015  |  Volume : 26  |  Issue : 2  |  Page : 335-338
Spontaneous peri-nephric hematoma in a patient with acute kidney injury following Russell's viper envenomation

Department of Nephrology, Institute of Postgraduate Medical Education and Research, Kolkata, India

Correspondence Address:
Dr. Vishal Golay
Department of Nephrology, Institute of Postgraduate Medical Education and Research, Kolkata
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DOI: 10.4103/1319-2442.152500

PMID: 25758885

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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.

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