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Case Reports
. 2020:75:357-360.
doi: 10.1016/j.ijscr.2020.09.036. Epub 2020 Sep 16.

Huge perinephric hematoma after ureteroscopy and pneumatic lithotripsy for ureteral stone; A life-threatening rare complication: Case report and review of literature

Adel Alrabadi  1 , Hammam Mansi  2 , Sohaib Alhamss  2 , Saddam Al Demour  2 , Mahmoud Odeh  2
Affiliations
Case Reports

Huge perinephric hematoma after ureteroscopy and pneumatic lithotripsy for ureteral stone; A life-threatening rare complication: Case report and review of literature

Adel Alrabadi et al. Int J Surg Case Rep. 2020.

Abstract

Introduction: Ureteroscopy with pneumatic lithotripsy is a relatively safe procedure for the management of the ureteral stone disease. However; subcapsular hematoma and even huge perinephric hematoma are potentially serious events that may complicate this procedure and must be kept in mind.

Case presentation: We present a case of huge perinephric hematoma post ureteroscopy and pneumatic lithotripsy for an impacted ureteral stone.

Conclusion: The occurrence of such a rare complication in a relatively safe procedure must be taken into consideration especially while dealing with patients with long-standing obstruction and thin renal cortex. Furthermore, the risk of bleeding should be included in risk-benefit counselling before ureteroscopic lithotripsy.

Keywords: Case report; Perinephric hematoma; Pneumatic lithotripsy; Ureteroscopy.

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Figures

Fig. 1
Fig. 1
Severe ballooning of the left kidney with loss of parenchyma and cortex and filled with hypodense content representing left kidney replaced by hematoma with perinephric extension (the star), left dj was seen with its tip in what is assumed to be the left PUJ (arrow).
Fig. 2
Fig. 2
Left renal and perirenal hematoma chronic in appearance measured 13.7 × 10.3 × 10 cm.
Fig. 3
Fig. 3
Small atrophied left kidney with chronic hematoma measured 6 × 5 × 5.5 cm.
See this image and copyright information in PMC

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