Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure

Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patie...

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Main Authors: Michele Greco, Salvatore Butticè, Filippo Benedetto, Francesco Spinelli, Olivier Traxer, Tzevat Tefik, Rosa Pappalardo, Carlo Magno
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/2573476
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author Michele Greco
Salvatore Butticè
Filippo Benedetto
Francesco Spinelli
Olivier Traxer
Tzevat Tefik
Rosa Pappalardo
Carlo Magno
author_facet Michele Greco
Salvatore Butticè
Filippo Benedetto
Francesco Spinelli
Olivier Traxer
Tzevat Tefik
Rosa Pappalardo
Carlo Magno
author_sort Michele Greco
collection DOAJ
description Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patient during an aortic and iliac endovascular procedure for a massive calcified atheroma above the iliac bifurcation. We suspected that the bolus of high weight molecular heparin given during the procedure caused the rupture of the cyst. According to the literature, this is the first case of renal cyst rupture during an endovascular aortic procedure after administering a high weight molecular heparin bolus.
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issn 2090-696X
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series Case Reports in Urology
spelling doaj-art-35210260b3864cbfa68bbbd8b266a7992025-02-03T05:52:09ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/25734762573476Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting ProcedureMichele Greco0Salvatore Butticè1Filippo Benedetto2Francesco Spinelli3Olivier Traxer4Tzevat Tefik5Rosa Pappalardo6Carlo Magno7Cardiovascular and Thoracic Department, Unit of Vascular Surgery, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, ItalyDepartment of Human Pathology, Unit of Urology, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, ItalyCardiovascular and Thoracic Department, Unit of Vascular Surgery, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, ItalyUnit of Vascular Surgery, Campus BioMedico University, 00128 Rome, ItalyPierre & Marie Curie University, Tenon University Hospital, 75020 Paris, FrancePierre & Marie Curie University, Tenon University Hospital, 75020 Paris, FranceDepartment of Human Pathology, Unit of Urology, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, ItalyDepartment of Human Pathology, Unit of Urology, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, ItalySpontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patient during an aortic and iliac endovascular procedure for a massive calcified atheroma above the iliac bifurcation. We suspected that the bolus of high weight molecular heparin given during the procedure caused the rupture of the cyst. According to the literature, this is the first case of renal cyst rupture during an endovascular aortic procedure after administering a high weight molecular heparin bolus.http://dx.doi.org/10.1155/2016/2573476
spellingShingle Michele Greco
Salvatore Butticè
Filippo Benedetto
Francesco Spinelli
Olivier Traxer
Tzevat Tefik
Rosa Pappalardo
Carlo Magno
Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
Case Reports in Urology
title Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
title_full Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
title_fullStr Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
title_full_unstemmed Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
title_short Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure
title_sort spontaneous subcapsular renal hematoma strange case in an anticoagulated patient with hwmh after aortic and iliac endovascular stenting procedure
url http://dx.doi.org/10.1155/2016/2573476
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