Renal Subcapsular Hematoma after Percutaneous Transfemoral Angiography

Yi, Jin-Seok; Lee, Hyung‐Jin; Lee, Hong-Jae; Yang, Junghoon

doi:10.3340/jkns.2014.55.2.96

Cited by 9 publications

(16 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our literature search revealed only one other similar case, although this was following administration of recombinant Tissue Plasminogen Activator in a case of acute ischaemic cerebrovascular accident [11]. In the context of percutaneous intervention, there have been reports of renal hematoma following percutaneous transluminal stent placement in the renal artery (via direct perforation) and percutaneous coronary intervention via femoral-access (via plaque dislodgement at the aorto-renal junction, following catheter or guidewire passage, lacerating the aorta and dissecting into the perirenal space) [10,12,13].…”

Section: Discussionmentioning

confidence: 99%

Massive, Spontaneous Ruptured Renal Subcapsular Haematoma Following Thrombolytic Therapy in Acute ST-Elevation Myocardial Infarction

Shariff¹,

Kasim²

2019

JCHS

View full text Add to dashboard Cite

Background: Thrombolytic therapy remains widely used in majority of developing countries, where delivery of primary percutaneous coronary intervention (PCI) remains a challenge. Unfortunately, complications following such therapy remains prominent, predominantly bleeding-related problems. We present a rare case of massive renal subcapsular haemorrhage and hematoma following thrombolytic therapy. Case Report: A 61-year old gentleman presented following an episode of chest pain due to acute ST-elevation myocardial infarction. Due to potential delays in obtaining PCI, the patient was counselled for thrombolysis using streptokinase which he had consented to. Unfortunately, within 36 hours of admission, he developed abdominal pain, haematuria, hypotension and altered mental status, associated with acute drops in haemoglobin levels. Following initial resuscitation efforts, a Computed Tomography scan of the abdomen was performed revealing a massive renal subcapsular hematoma, likely secondary to previous thrombolysis. Discussion: Renal subcapsular hematoma can either be spontaneous or iatrogenic, the latter often due to coexisting renal-based neoplasm or vasculitidies. Iatrogenic causes include trauma, following renal biopsies or anticoagulation therapy amongst a few others. Iatrogenic renal subcapsular haemorrhage and hematoma formation are rare following thrombolysis. Our literature search revealed only one other similar case, although this was following administration of recombinant Tissue Plasminogen Activator in a case of acute ischaemic cerebrovascular accident. Conclusion: This case highlights the complexity in management, following the findings in terms of need for cessation of dual antiplatelet therapy and timing for PCI and stent selection.

show abstract

Section: Discussionmentioning

confidence: 99%

Massive, Spontaneous Ruptured Renal Subcapsular Haematoma Following Thrombolytic Therapy in Acute ST-Elevation Myocardial Infarction

Shariff¹,

Kasim²

2019

JCHS

View full text Add to dashboard Cite

show abstract

“…There have been only three case reports describing renal subcapsular hematoma after transfemoral angiography [ 1 8 9 ]. In these cases, patients complained of abdominal or flank pain immediately after the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Renal subcapsular hematoma is a rare form of intraabdominal bleeding. Subcapsular hematomas can be spontaneous or iatrogenic, and iatrogenic causes include renal biopsy, anticoagulation, extracorporeal shock wave lithotripsy, hemodialysis and renal transplantation [ 1 ]. Intravenous recombinant tissue plasminogen activator (rTPA) is used in acute cerebral infarction to recanalize an occluded vessel.…”

mentioning

confidence: 99%

Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

Kim

Lee

2016

Neurointervention

View full text Add to dashboard Cite

A 74-year-old female with acute cerebral infarction was treated with intravenous recombinant tissue plasminogen activator. Subsequent percutaneous transfemoral angiography and mechanical thrombectomy were performed due to a right middle cerebral artery occlusion, which was successfully recanalized. Two days after treatment, the patient complained of vague right abdominal pain and a laboratory test showed anemia. Abdominal computed tomography showed a right renal subcapsular hematoma. After conservative management, the patient was discharged without complications. We report a rare complication after intravenous thrombolysis in a patient with acute cerebral infarction.

show abstract

“…The presenting symptom could be related to another cause (i.e., lumbar disc hernia or myalgia), and the renal atrophy could be incidentally diagnosed. A hematoma is the most frequent type of renal subcapsular collection and may occur following trauma, anticoagulant therapy, and interventional procedures [1,[4][5][6]. Renal subcapsular pseudocyst may also be encountered as a complication of acute pancreatitis [3].…”

Section: Journal Of Clinical and Analytical Medicinementioning

confidence: 99%

A Rare Cause of Renal Atrophy: Subcapsular Collection Presented as a Huge Perirenal Complex Cyst

Kılınçer¹

2017

Ann Clin Anal Med

View full text Add to dashboard Cite

ÖzRenal subkapsüler koleksiyonlar tedavi edilmezse renal atrofi ile sonuçlanabilir.Tekrarlayan hemoraji epizodları koleksiyonun karmaşık görünümlü olmasına neden olduğu için kronik dönemde tanı koymak oldukça zor olabilir. Biz bu yazımız-da 44 yaşındaki bir erkek olguda böbrek atrofisinin nadir bir sebebini sunuyoruz. Anahtar KelimelerAtrofik Böbrek; Kompleks Kist; Subkapsüler Koleksiyon; MRG; BT AbstractIf left untreated, renal subcapsular collections may result in renal atrophy. The diagnosis could be challenging at chronic stage due to recurrent episodes of hemorrhage which is the reason for the complex appearance of the collection. Herein we report a rare cause of renal atrophy in a 44-year-old man. Keywords

show abstract

Renal Subcapsular Hematoma after Percutaneous Transfemoral Angiography

Cited by 9 publications

References 10 publications

Massive, Spontaneous Ruptured Renal Subcapsular Haematoma Following Thrombolytic Therapy in Acute ST-Elevation Myocardial Infarction

Massive, Spontaneous Ruptured Renal Subcapsular Haematoma Following Thrombolytic Therapy in Acute ST-Elevation Myocardial Infarction

Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

A Rare Cause of Renal Atrophy: Subcapsular Collection Presented as a Huge Perirenal Complex Cyst

Contact Info

Product

Resources

About