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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Trakia University
2023-03-01
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| Series: | Trakia Journal of Sciences |
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| Online Access: | http://tru.uni-sz.bg/tsj/Volume%2021,%202023,%20Number%201,%20Series%20Biomedical%20Sciences/12_B.Lazarov.pdf |
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| author | B. Lazarov |
| author_facet | B. Lazarov |
| author_sort | B. Lazarov |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-bdc721f09b9a456d8cc26d440cde3d68 |
| institution | OA Journals |
| issn | 1313-3551 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Trakia University |
| record_format | Article |
| series | Trakia Journal of Sciences |
| spelling | doaj-art-bdc721f09b9a456d8cc26d440cde3d682025-08-20T01:51:30ZengTrakia UniversityTrakia Journal of Sciences1313-35512023-03-01211737610.15547/tjs.2023.01.012A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPYB. LazarovIntroduction: 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.http://tru.uni-sz.bg/tsj/Volume%2021,%202023,%20Number%201,%20Series%20Biomedical%20Sciences/12_B.Lazarov.pdfcomplications after endourologyureteral stones |
| spellingShingle | B. Lazarov A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY Trakia Journal of Sciences complications after endourology ureteral stones |
| title | A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY |
| title_full | A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY |
| title_fullStr | A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY |
| title_full_unstemmed | A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY |
| title_short | A RARE CASE OF PERIRENAL HEMATOMA AFTER URETERORENOSCOPY |
| title_sort | rare case of perirenal hematoma after ureterorenoscopy |
| topic | complications after endourology ureteral stones |
| url | http://tru.uni-sz.bg/tsj/Volume%2021,%202023,%20Number%201,%20Series%20Biomedical%20Sciences/12_B.Lazarov.pdf |
| work_keys_str_mv | AT blazarov ararecaseofperirenalhematomaafterureterorenoscopy AT blazarov rarecaseofperirenalhematomaafterureterorenoscopy |