Spontaneous perirenal haemorrhage in polyarteritis nodosa

Patients presenting with flank pain are likely to have urological pathology but when features of hypotension are present high index of suspicion is needed to reach the cause such as perirenal haemorrhage. Spontaneous perirenal haemorrhage [SPH] is an uncommon presentation of vasculitis, autoimmune disease or malignancy. It is common in males in the age group between 30 and 60 years. Polyarteritis nodosa [PAN] is one of the commonest vascular diseases associated with SPH. Angiography adds valuable information to the diagnosis and management and can prevent unnecessary nephrectomy. We report a case of SPH that was successfully managed with angioembolization

Clinical presentation of liver abscess

Liver abscesses is a common problem in developing countries especially with poor hygiene and water supply. A retrospective study was conducted to review the records of cases of liver abscesses treated at Jinnah postgraduate medical centre Karachi from September 1996 to July 2001. The objective being to see the most common clinical presentation of liver abscess. A total of 158 cases 136 male and 22 female were admitted and treated. The most common clinical features were fever, pain right upper abdomen and hepatomagally. Ultrasound diagnosed 96.8% of cases. 56 patients were treated with antibiotics, 79 had aspiration and 17 had exploratory laparatomy. There was no mortality in our study