A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY
Introduction: Ureteroscopy is a standard procedure for the treatment of ureteral stones but it carries the risk of many complications – urinary tract infections being the most common. We present a rare case of a perirenal hematoma after this procedure. Case Presentation: A male patient with bilat...
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| Format: | Article |
| Language: | English |
| Published: |
Trakia University
2023-03-01
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| Series: | Trakia Journal of Sciences |
| Subjects: | |
| Online Access: | http://tru.uni-sz.bg/tsj/Volume%2021,%202023,%20Number%201,%20Series%20Biomedical%20Sciences/12_B.Lazarov.pdf |
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| Summary: | Introduction: Ureteroscopy is a standard procedure for the treatment of ureteral stones but it carries the risk
of many complications – urinary tract infections being the most common. We present a rare case of a perirenal
hematoma after this procedure.
Case Presentation: A male patient with bilateral ureteral stones was initially treated with stents. Later a laser
disintegration of the stone in the right ureter was tried – unsuccessfully. After the procedure, a perirenal
hematoma was found.
Discussion: Based on our previous experience, the hematoma was completely unexpected. The ultrasound
provided the initial diagnosis but it underestimated its real size -the accurate diagnosis was made with
contrast-CT. The initial conservative treatment failed because of the occurrence of fever.
Conclusion: Ureterorenoscopy-related hematoma is a rare, but serious complication. Its occurrence can be
prevented by reducing the intrarenal pressure during the procedure and also by shortening the duration of the
manipulation. |
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| ISSN: | 1313-3551 |