Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010 Sep;2(3):119-21.
doi: 10.4103/0974-7796.68861.

Subcapsular renal hematoma after ureterorenoscopy: An unknown complication of a known procedure

Ujjwal Bansal  1 , Ajit Sawant, Jayesh Dhabalia
Affiliations
Case Reports

Subcapsular renal hematoma after ureterorenoscopy: An unknown complication of a known procedure

Ujjwal Bansal et al. Urol Ann. 2010 Sep.

Abstract

Renal subcapsular hematoma is not an uncommon complication after extracorporeal short wave lithotripsy, trauma, renal angiographic procedures and spontaneously in patients of malignancy and in patients on anticoagulation. We present a patient who developed renal subcapsular hematoma after ureterorenoscopy, which has not been mentioned in literature ever. Clinical spectrum varies from spontaneous resolution through acute renal failure to Page kidney. Page kidney is the external compression of a kidney usually caused by a subcapsular hematoma associated with high blood pressure and occasional renal failure. It is named after Dr. Irvin Page who first demonstrated in 1939 that wrapping cellophane tightly around animal kidneys could cause hypertension. Various management options are mentioned in literature and depend upon the severity of hematoma. Percutaneous drainage is a successful option for the management of subcapsular hematoma in hemodynamic stable patients.

Keywords: Percutaneous drain; subcapsular renal hematoma; ureterorenoscopy.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Preoperative CT scan showing normal renal parenchyma
Figure 2
Figure 2
(a) Retrograde pyelogram (RGP) showing stretched out Pelvicalyceal system (PCS) with drain insitu in hematoma. (b,c) CT images showing subcapsular hematoma with compressed and displaced right renal parenchyma
See this image and copyright information in PMC

References

    1. Chao YC, Ming HL, Yeu CC, Sun YC. Spontaneous bilateral renal subcapsular hematoma as a possible complication of myeloproliferative disorders. J Med Sci. 2009;29:273–5.
    1. Navarro HP, López PC, Ruiz JM. Renal hematoma after extracorporeal shock-wave lithotripsy (ESWL) Actas Urol Esp. 2009;33:296–303. - PubMed
    1. Hsin CY, Jung TS, Wen JW. Spontaneous bilateral subcapsular hematoma of the kidneys: a case report. J Taiwan Urol Assoc. 2008;19:228–31.
    1. Duchene DA, Williams RD, Winfield HN. Laparoscopic management of bilateral page kidneys. Urology. 2007;69:1208e1-3. - PubMed

Publication types