Academic Journal
Intraparenchymal hematoma as a late complication of retrograde intrarenal surgery
| العنوان: | Intraparenchymal hematoma as a late complication of retrograde intrarenal surgery |
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| المؤلفون: | Sedat Yahsi, Senol Tonyali, Cavit Ceylan, Kenan Y. Yildiz, Levent Ozdal |
| المصدر: | International Brazilian Journal of Urology, Vol 43, Iss 2, Pp 367-370 |
| بيانات النشر: | Sociedade Brasileira de Urologia. |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Hematoma, Intrarenal Surgery, RIRS, urolithiasis, computed tomography, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | ABSTRACT A 34 year-old woman was admitted to our hospital with left flank pain. A non-contrast enhanced computerized tomography (NCCT) revealed a 1.5x2cm left proximal ureter stone. Patient was scheduled for ureterorenoscopy (URS) and stone removal. She was submitted to retrograde intrarenal surgery (RIRS). At the postoperative 1st day, the patient began to suffer from left flank pain. A NCCT was taken, which revealed a subcapsular hematoma and perirenal fluid. The patient was managed conservatively with intravenous fluid, antibiotic and non-steroidal anti-inflammatory drug therapy and was discharged at the postoperative 6th day. Two weeks after the discharge the patient was admitted to emergency department with severe left flank pain, palpitation and malaise. KUB (kidney-ureter-bladder) radiography showed double-J stent (DJS) to be repositioned to the proximal ureter. Patient was evaluated with contrast enhanced CT which revealed an 8cm intraparenchymal hematoma/abscess in the middle part of the kidney. A percutaneous drainage catheter was inserted into the collection. The percutaneous drainage catheter and the DJS were removed at the 10th day of second hospitalization. RIRS surgery is an effective and feasible choice for renal stones with high success and acceptable complication rates. However, clinician should be alert to possible complications. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1677-6119 1677-5538 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000200367&lng=en&tlng=en; https://doaj.org/toc/1677-6119 |
| DOI: | 10.1590/s1677-5538.ibju.2016.0121 |
| URL الوصول: | https://doaj.org/article/94b57af8f06448819bf0ee72f528622e |
| رقم الانضمام: | edsdoj.94b57af8f06448819bf0ee72f528622e |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 16776119 16775538 |
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| DOI: | 10.1590/s1677-5538.ibju.2016.0121 |