Hématome urétéral compliquant un traitement anticoagulant : à propos d’un cas

Ureteral Hematoma: A Case Report on Complications During Anticoagulant Therapy

“…Intravenous urography (IVU), formerly used as a reference examination, has lost its value in the diagnosis of ureteral hematoma due to advances in imaging techniques. The main radiological differential diagnoses are nonspecific pyeloureteritis evolving in an infectious context, idiopathic retroperitoneal fibrosis that does not resolve in a few weeks, and urothelial tumor in case of irregular thickening of the pyloric wall [1,5]. A regression of the symptomatology after 3-4 weeks after stopping the treatment is an argument in favor of the diagnosis.…”

“…A regression of the symptomatology after 3-4 weeks after stopping the treatment is an argument in favor of the diagnosis. The literature reports that clinical and radiological evolution is always rapidly favorable, even in cases of acute obstructive renal failure, after the correction of coagulation disorders and the immediate discontinuation of anticoagulant treatment [1].…”

“…Fewer than 10 cases have been reported in the literature. The appearance of macroscopic hematuria may indicate the presence of underlying organic damage, or it may be an exceptional manifestation directly related to the hemorrhagic effect of the treatment [1]. Clinically, ureteral hematoma is manifested by back or abdominal pain associated with macroscopic hematuria [2]; imaging plays a major role in its diagnosis.…”