Intraparenchymal hematoma as a late complication of retrograde intrarenal surgery
| Autor: | Kenan Y Yildiz, Cavit Ceylan, Levent Ozdal, Sedat Yahsi, Senol Tonyali |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Percutaneous Urology medicine.medical_treatment Radiography 030232 urology & nephrology lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Hematoma Postoperative Complications Challenging Clinical Cases medicine Pressure Ureteroscopy Humans Abscess Ureterolithiasis Parenchymal Tissue business.industry urolithiasis Stent computed tomography Emergency department lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery 030220 oncology & carcinogenesis Ureteroscopes Female Kidney Diseases Stents RIRS Radiology Complication business Intrarenal Surgery |
| Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International Brazilian Journal of Urology, Vol 43, Iss 2, Pp 367-370 |
| ISSN: | 1677-6119 |
| Popis: | A 34 year-old woman was admitted to our hospital with left flank pain. A non-contrast enhanced computerized tomography (NCCT) revealed a 1.5x2cm left proximal ureter stone. Patient was scheduled for ureterorenoscopy (URS) and stone removal. She was submitted to retrograde intrarenal surgery (RIRS). At the postoperative 1st day, the patient began to suffer from left flank pain. A NCCT was taken, which revealed a subcapsular hematoma and perirenal fluid. The patient was managed conservatively with intravenous fluid, antibiotic and non-steroidal anti-inflammatory drug therapy and was discharged at the postoperative 6th day. Two weeks after the discharge the patient was admitted to emergency department with severe left flank pain, palpitation and malaise. KUB (kidney-ureter-bladder) radiography showed double-J stent (DJS) to be repositioned to the proximal ureter. Patient was evaluated with contrast enhanced CT which revealed an 8cm intraparenchymal hematoma/abscess in the middle part of the kidney. A percutaneous drainage catheter was inserted into the collection. The percutaneous drainage catheter and the DJS were removed at the 10th day of second hospitalization. RIRS surgery is an effective and feasible choice for renal stones with high success and acceptable complication rates. However, clinician should be alert to possible complications. |
| Databáze: | OpenAIRE |
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