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

Alrabadi, Adel; Mansi, Hammam; Alhamss, Sohaib; Demour, Saddam Al; Odeh, Mohammed

doi:10.1016/j.ijscr.2020.09.036

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…The patient not only presented with a prior history of ureteral stent placement but also had a history of hypertension, diabetes mellitus, bilateral hydronephrosis, nephrolithiasis, and laser lithotripsy, making him a prime candidate for developing PRH after ureteroscopy and cystoscopy. It is currently considered a grade IIb complication of the Satava classification system for intraoperative ureteroscopy complications [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Uncommon Complications of Cystoscopy: Presentations of Concurrent Perirenal Hematoma and Candida albicans Sepsis

Jou,

Barrera,

Gallegos Koyner

et al. 2023

Cureus

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Subcapsular hematoma (SRH) or perirenal hematoma (PRH) can be seen after trauma, interventional radiological procedures, urological procedures, anticoagulant medications, coagulation disorders, infections, and spontaneously in some patients. Within the urological procedures, PRH can occur after percutaneous nephrolithotomy and extracorporeal shortwave lithotripsy but has only been reported a few times after cystoscopy/ureteroscopy. Here, we present the case of PRH as a complication from cystoscopy with retrograde pyelography in a patient with underlying chronic kidney disease (CKD) and an extensive surgical history for nephrolithiasis. In addition to this, our patient had a further complication of sepsis by Candida albicans , of which the source is proven to be urinary, and it appears that the fungemia was triggered during the procedure as well. The diagnosis was confirmed by abdominal computed tomography (CT), and PRH was proven to resolve with conservative management on repeat imaging months later.

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Section: Discussionmentioning

confidence: 99%

“…The management and treatment of PRH secondary to ureteroscopy, cystoscopy, and/or other causes are not currently standardized but widely believed to be best through conservative means [ 1 , 4 ]. Several experts have provided recommendations on the treatment of PRH regardless of cause.…”

Section: Discussionmentioning

confidence: 99%

Uncommon Complications of Cystoscopy: Presentations of Concurrent Perirenal Hematoma and Candida albicans Sepsis

Jou,

Barrera,

Gallegos Koyner

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…However, in most cases, supportive measures are enough to control the bleeding [6]. Sometimes, a decrease in hematocrit and hemoglobin levels can occur without visible bleeding, indicating a possible perinephric hematoma that can be confirmed or rejected through computed tomography [7,8]. Several factors can increase the risk of bleeding, such as prolonged operative time, stone size and type, high BMI, multiple access methods and routes, low experience of the surgeon, and damage to the renal pelvis and calyces [9].…”

Section: Introductionmentioning

confidence: 99%

Acute liver injury and contralateral pleural effusion as two rare complications following percutaneous nephrolithotomy: a case report

Kazemi

2024

Am J Clin Exp Urol

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Introduction: Percutaneous Nephrolithotomy (PCNL) is a widely used surgical intervention for removing large and complex renal calculi. While considered a safe and effective procedure, it can still lead to severe and rare complications, including bleeding, pulmonary complications, and liver dysfunction. Case presentation: This case report presents a case who underwent PCNL for a kidney stone and subsequently developed a series of rare and severe complications. Following the PCNL procedure, the patient experienced significant bleeding, a known but uncommon complication of PCNL, pulmonary complications, a common complication that may carry a risk of death, and acute liver failure, an exceedingly rare consequence of PCNL. Conclusion: In summary, while PCNL is a valuable technique for treating kidney stones, it is not without risk. This case underscores the importance of recognizing and managing rare complications following PCNL surgery, highlighting the need for vigilance, multidisciplinary care, and timely interventions to ensure favorable patient outcomes.

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A rare complication after ureterorenoscopy lithotripsy: Subcapsular renal hematoma

Lu,

Chen,

Cao

et al. 2024

Urologia

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Objective: To evaluate the prevalence, risk factors, clinical manifestations, and outcomes of subcapsular renal hematoma (SRH) following ureterolithotripsy. Patients and Methods: Between January 2014 and December 2023, patients who underwent ureterorenoscopy lithotripsy (URL) at our hospital were retrospectively reviewed. Clinical data including basic information, calculi-related indicators, and perioperative period data were collected. A Student’s t-test was used for continuous data, while a Chi-square test or Fisher’s exact test was utilized for categorical data. Results: A total of 2098 patients treated with URL for ureteric stones were included in this study. The incidence of SRH after URL was 0.52% (11 cases). All SRH cases were confirmed by non-contrast computed tomography, with an average patient age of 55.54 years (range 34–84). The mean stone size in patients with SRH was 10.54 cm (range 0.8–1.5). Patients with SRH had a higher proportion of severe hydronephrosis caused by ureteral stones (54.55% vs 26.07%, p = 0.032) and narrow ureters (45.45% vs 8.04%, p < 0.001) compared to those without SRH. Patients with SRH experienced a longer length of stay, with a significant difference between the two groups (11.64 ± 5.05 vs 3.87 ± 8.12, p < 0.001). Nine patients were managed conservatively without further intervention, while embolization was required in one patient and percutaneous drainage was performed in another. All SRH cases resolved completely during a 4-month follow-up. Conclusions: The incidence of SRH following URL is low, with severe hydronephrosis and narrow ureters identified as risk factors. Most SRH cases can be successfully managed conservatively, although patients with SRH may experience a significant prolongation of their length of stay.

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

Cited by 3 publications

References 17 publications

Uncommon Complications of Cystoscopy: Presentations of Concurrent Perirenal Hematoma and Candida albicans Sepsis

Uncommon Complications of Cystoscopy: Presentations of Concurrent Perirenal Hematoma and Candida albicans Sepsis

Acute liver injury and contralateral pleural effusion as two rare complications following percutaneous nephrolithotomy: a case report

A rare complication after ureterorenoscopy lithotripsy: Subcapsular renal hematoma

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