{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:43:51Z","timestamp":1792590231619,"version":"4.5.0"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n \n Spontaneous renal hemorrhage (SRH) caused by renal infection is extremely rare. Furthermore, sepsis caused by methicillin\u2010resistant\n \n Staphylococcus aureus<\/jats:italic>\n <\/jats:styled-content>\n (MRSA) has a high mortality rate and requires prompt source control.\n <\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n A 63\u2010year\u2010old man with severe diabetes presented to the emergency department in shock. Computed tomography revealed a left renal subcapsular hematoma. Based on his clinical course and history, infection\u2010induced SRH was suspected. Blood and urine cultures yielded MRSA. Although percutaneous drainage was performed after the initial bleeding stabilized, persistent infection was followed by rebleeding, necessitating left nephrectomy. The patient recovered postoperatively. Histopathology confirmed abscess formation and chronic inflammation without malignancy.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n For inadequately controlled infections following percutaneous drainage, particularly when recurrent hemorrhage is suspected, early nephrectomy may be considered for definitive source control.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/iju5.70285","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:07:28Z","timestamp":1792588048000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Renal Hemorrhage Secondary to MRSA Renal Abscess Requiring Nephrectomy After Failed Percutaneous Drainage: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8027-2716","authenticated-orcid":false,"given":"Yuichiro","family":"Atagi","sequence":"first","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-0866","authenticated-orcid":false,"given":"Kyotaro","family":"Fukuta","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Ozaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoichi","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Inai","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Izaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital Tokushima Tokushima Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1097\/RCT.0b013e3182203c5e","article-title":"Wunderlich Syndrome: Cross\u2010Sectional Imaging Review","volume":"35","author":"Katabathina V. 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American Journal of Roentgenology"},{"key":"e_1_2_13_11_1","doi-asserted-by":"crossref","DOI":"10.1002\/ams2.70109","article-title":"Delayed\u2010Onset Infected Perirenal Hematoma Following Trauma: A Case Report","volume":"13","author":"Nakamura Y.","year":"2026","journal-title":"Acute Medicine & Surgery"},{"key":"e_1_2_13_12_1","article-title":"A Rare Case of Page Kidney With Superimposed Infection","volume":"15","author":"Zaw E.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s00345-025-05900-1","article-title":"Emergency Nephrectomy in Surgical Pyelonephritis: Outcomes and Predictors of Conservative Management Failure","volume":"43","author":"Lefranc R.","year":"2025","journal-title":"World Journal of Urology"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70285","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.70285","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:07:30Z","timestamp":1792588050000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/iju5.70285"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70285","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"assertion":[{"value":"2026-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70285"}}