In this report, we present a 69-year-old woman with diabetes with both septic and hypovolemic shock secondary to spontaneous renal hemorrhage due to a left renal abscess and IPRAA rupture.

• 本篇病例报告一位糖尿病的69岁女性，续发于左肾脓疡及肾实质内伪血管瘤的自发性肾脏出血，同时以败血性及低容量性休克来表现。