Stefano Giusto Picchi, Beatrice Bravi, Benedetta Rossini, Fabiola Zaccagni, Marcello Pasqualini, Gian Carlo Parenti, Giulia Lassandro, Maria Teresa Minguzzi
Spontaneous bilateral subcapsular renal hematoma is an extremely rare condition. In international literature, very few cases have been reported. We here present a rare case of a 20-year-old female with silent anamnesis, who presented to the Emergency Department of our center with abdominal epigastric pain and relapsing febrile peaks. Different imaging techniques were performed (Ultrasound (US), Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) with contrast agent) demonstrating spontaneous bilateral subcapsular renal hematomas. This patient had no risk factors and traumatic origin was excluded, as well as all other more common causes. The patient was treated conservatively in our center. The patient ultimately recovered and continued to be followed in an outpatient setting without any serious long-term complications.