Spontaneous Subcapsular Renal Hematoma Research Articles

Spontaneous renal subcapsular hematoma; a case report and reviewing management options

Spontaneous subcapsular renal hematoma is a rare complication with potentially fatal effects in clinical practice. We discuss a case of a patient who arrived at the emergency room with abrupt onset flank discomfort and hematuria. The damaged kidney was effectively embolized by interventional radiology, and the patient quickly recovered. Follow-up tests revealed that the hematoma had shrunk in size. We believe that early arterial embolization should be explored in the care of patients with renal bleeding because it may enhance outcomes.

Spontaneous subcapsular renal hematoma in a patient with pauci-immune glomerulonephritis

Spontaneous subcapsular renal hematoma is a rare occurrence. We report a 42-year-old male with rapidly progressive glomerulonephritis who developed sudden-onset right flank pain. Imaging showed a large subcapsular collection in the right kidney, for which urgent nephrectomy was done due to hemodynamic instability. Histopathology from the nephrectomy specimen was suggestive of pauci-immune glomerulonephritis with crescents. The patient received pulse methylprednisolone followed by injectable cyclophosphamide.

Severe pyonephrosis associated with spontaneous subcapsular renal hematoma

Non-traumatic spontaneous subcapsular renal hematoma, also known as Wunderlich syndrome, is a rare entity that is associated with some renal pathology, mainly tumors or cysts, anticoagulant drugs administration or unknown reasons. We present a case of an elderly patient that presented with spontaneous subcapsular renal hematoma and complete deterioration of his kidney due to severe pyonephrosis that was managed conservatively.

The spontaneous subcapsular renal hematoma after ureteroscopic lithotripsy: experience of diagnosis and treatment

目的 通过对输尿管镜术后自发肾包膜下血肿的回顾研究，了解这一少见并发症，提高临床水平。 方法 回顾性研究3例输尿管镜碎石术后自发肾包膜下出血的临床资料，复习相关文献，探讨其病因、发病机制和诊治。 结果 1例患者保守治疗好转，1例患者行B超引导下穿刺引流术，1例患者反复感染后行肾切除术。 结论 自发性肾包膜下血肿是输尿管镜少见的并发症，一旦发生危害极大。对术后血色素明显下降的患者应考虑并行影像学检查确诊，及时有效的抗感染和穿刺引流治疗对改善患者的愈后极其重要。

Computed Tomography and Ultrasound Diagnosis of Spontaneous Subcapsular Renal Hematoma

Computed Tomography and Ultrasound Diagnosis of Spontaneous Subcapsular Renal Hematoma

Computed Tomography and Ultrasound Diagnosis of Spontaneous Subcapsular Renal Hematoma

Computed Tomography and Ultrasound Diagnosis of Spontaneous Subcapsular Renal Hematoma

Spontaneous Subcapsular Renal Hematoma as a Complication of Acute Pyelonephritis: A Case Report

Abstract Spontaneous subcapsular renal hematoma (SSRH) emerged as a complication of acute pyelonephritis (APN) is an extremely rare condition. We showed a patient aged 63 years hospitalized due to languor, febrility, abdominal pain accompanied by nausea and vomiting. Ultrasound (US) examination of the abdomen and multidetector computed tomography (MDCT) showed the presence of subcapsular hematoma of the left kidney with calculus in the initial part of the left ureter. Laboratory tests registered a positive inflammation syndrome, anemia and an increase in nitrogen compounds. Based on laboratory results, clinical presentation and imaging techniques it has been found that it is APN with spontaneous subcapsular hematoma. After application of non-surgical treatment which included antibiotic therapy with percutaneous drainage of hematoma, a good clinical response with regression of subjective symptoms and hematoma was obtained. On repeated US and MDCT after 18 months no pathological changes in the kidneys were registered. Spontaneous subcapsular hematoma extremely rare occurs as a result of APN associated with calculosis. The use of non-surgical treatment, which includes appropriate antibiotic therapy with percutaneous drainage of hematoma would represent a method of first choice.

Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure.

Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patient during an aortic and iliac endovascular procedure for a massive calcified atheroma above the iliac bifurcation. We suspected that the bolus of high weight molecular heparin given during the procedure caused the rupture of the cyst. According to the literature, this is the first case of renal cyst rupture during an endovascular aortic procedure after administering a high weight molecular heparin bolus.

Urinary Infection and Spontaneous Subcapsular Renal Hematoma

Spontaneous subcapsular renal hematoma is an uncommon entity. We report a 54-year-old lady presenting with high fever, dysuria followed 5 days later by acute onset left flank pain and uncontrolled hypertension. Ultrasound, computed tomography and magnetic resonance imaging showed a subcapsular hematoma in the left kidney. Except urinary tract infection and hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. The collection disappeared on MRI at 6 weeks follow-up. She was asymptomatic at 23 months follow-up.

Spontaneous subcapsular renal hematoma in a patient being treated with dual antiplatelet therapy: A case report

Introduction: Spontaneous subcapsular renal hematoma is a relatively uncommon entity. After diagnosis, the determination of its cause is critical for the appropriate management. Case Report: In this report, we describe a case of spontaneous subcapsular renal hematoma in a patient without history of trauma. The patient was under double daily antiplatelet medication because of coronary heart disease. Conclusion: Diagnosis of the condition is suggested by ultrasound scan and confirmed by computed tomography (CT) scan. Literature suggests that the majority of these cases occur in association with renal tumors, and radical nephrectomy is recommended. When an underlying cause cannot be found, conservative treatment is proposed. However, the assessment must be completed with long­term, close surveillance, due to the risk of an undiagnosed neoplastic lesion. In our case, according to the negative imaging, the double antiplatelet therapy may be the only predisposing factor for the hemorrhage. It must be emphasized that discontinuation of medication and close follow­ up can save the kidney.

Subcapsular Renal Hematoma: Three Case Reports and Literature Reviews

Subcapsular renal hematoma (ScRH), albeit not a common entity in clinical practice, is a life-threatening condition when it is stopped naturally by the tamponade effect of the renal capsule. Renal tumors, renal vascular diseases, trauma and iatrogenic reasons are held responsible in the etiology. The affected patients present to emergency departments with the symptoms and sings comprising sudden onset flank pain, abdominal tenderness and hematuria. We presented in this paper three case reports related to ScRHs; the first with spontaneous ScRH; the second with the ScRH induced by anticoagulation therapy; and, the third with traumatic ScRH. We implemented conservative treatment in all of the patients. Moreover, we aimed, along with the current literature, to commence a discussion on the etiological reasons, the clinical presentation and the treatment approaches with regard to ScRH.

Spontaneous subcapsular renal hematoma: A case report and review of literature

Spontaneous subcapsular renal hematoma is not a common entity. We report a 38-year-old lady presenting with sudden onset right flank pain with uncontrolled hypertension and she was found to have subcapsular collection in the right kidney on ultrasonography. Finding was confirmed on computed tomography. Except hypertension, no particular cause for the condition could be found. Symptoms and size of the collection decreased on conservative treatment. They completely disappeared on ultrasonography at 6 months follow-up. She was asymptomatic at 18 months follow-up.

Spontaneous Renal Subcapsular Hematomain an Anticoagulated Patient

This is a case report of spontaneous subcapsular renal hematoma in an anticoagulated patient who was without excessive hypocoagulability and who was hemodynamically stable. Active bleeding was ruled out and a conservative treatment of discontinuing anticoagulant therapy was chosen. The patient was observed expectantly with serial abdominal computed tomography and abdominal ultrasound during her stay in the hospital. When diminution of the hematoma was detected, oral anticoagulation was resumed.

Etiology Of Spontaneous Perirenal Hemorrhage: A Meta-Analysis

Etiology Of Spontaneous Perirenal Hemorrhage: A Meta-Analysis

Spontaneous retroperitoneal hemorrhage secondary to subcapsular renal hematoma: MRI findings

Spontaneous retroperitoneal hemorrhage is a rare intraabdominal bleeding. In this report we present a case of a nontraumatic retroperitoneal hemorrhage secondary to spontaneous subcapsular renal hematoma. A 54-year-old patient who was under warfarin therapy, developed subcapsular right renal hematoma. Subcapsular and retroperitoneal hemorrhage were low signal on T1- and T2-weighted images consistent with acute stage of blood. The source of subcapsular hematoma was shown to be the rupture of hemorrhagic renal cyst on MRI. Extension of hemorrhage into the retroperitoneal space anterior to right psoas muscle was also successfully shown on MRI. Patient underwent nephrectomy and retroperitoneal blood was evacuated.

SPONTANEOUS SUBCAPSULAR RENAL HEMATOMA SECONDARY TO ANTICOAGULANT THERAPY

No AccessJournal of UrologyCLINICAL UROLOGY: Case Reports1 Apr 2001SPONTANEOUS SUBCAPSULAR RENAL HEMATOMA SECONDARY TO ANTICOAGULANT THERAPY NICOLA J. MABJEESH and HAIM MATZKIN NICOLA J. MABJEESHNICOLA J. MABJEESH More articles by this author and HAIM MATZKINHAIM MATZKIN More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66472-5AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "SPONTANEOUS SUBCAPSULAR RENAL HEMATOMA SECONDARY TO ANTICOAGULANT THERAPY." The Journal of Urology, 165(4), p. 1201 References 1 : Clinical significance of gross hematuria and its evaluation in patients receiving anticoagulant and aspirin treatment. Urology2000; 55: 22. Google Scholar 2 : Spontaneous retroperitoneal hemorrhage from kidney causes. Eur Urol1988; 15: 281. Google Scholar 3 : Conservative management of non-traumatic subcapsular renal hematoma: a case report. Int J Urol1994; 1: 181. Google Scholar From the Department of Urology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 165Issue 4April 2001Page: 1201 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.KeywordskidneyanticoagulantshematomaMetricsAuthor Information NICOLA J. MABJEESH More articles by this author HAIM MATZKIN More articles by this author Expand All Advertisement PDF downloadLoading ...

Spontaneous subcapsular hematoma in an ectopic kidney

An unusual of spontaneous rupture of the kidney is presented. We believe this tobe the first reported case of spontaneous subcapsular renal hematoma in a kidney that is crossed-ectopic (pelvic) and hydronephrotic.

Spontaneous Subcapsular Renal Hemorrhage: Its Significance and Roentgenographic Diagnosis

No AccessJournal of Urology1 Oct 1972Spontaneous Subcapsular Renal Hemorrhage: Its Significance and Roentgenographic Diagnosis Howard M. Pollack and George Popky Howard M. PollackHoward M. Pollack More articles by this author and George PopkyGeorge Popky More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)60794-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1972 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKendall A, Senay B and Coll M (2018) Spontaneous Subcapsular Renal Hematoma: Diagnosis and ManagementJournal of Urology, VOL. 139, NO. 2, (246-249), Online publication date: 1-Feb-1988.deKernion J (2018) Editorial CommentJournal of Urology, VOL. 139, NO. 2, (249-250), Online publication date: 1-Feb-1988.Pak K, Tomoyoshi T and Nishimura N (2018) Spontaneous Renal Subcapsular Hematoma in a Patient Undergoing HemodialysisJournal of Urology, VOL. 135, NO. 1, (117-119), Online publication date: 1-Jan-1986.Novicki D, Turlington J and Ball T (2018) The Evaluation and Management of Spontaneous Perirenal HemorrhageJournal of Urology, VOL. 123, NO. 5, (764-765), Online publication date: 1-May-1980.Bissada N and Redman J (2018) Massive Renal Hemorrhage Associated with ParturitionJournal of Urology, VOL. 115, NO. 4, (362-364), Online publication date: 1-Apr-1976.King T (2018) CommentJournal of Urology, VOL. 115, NO. 4, (364-364), Online publication date: 1-Apr-1976. Volume 108Issue 4October 1972Page: 530-533 Advertisement Copyright & Permissions© 1972 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Howard M. Pollack More articles by this author George Popky More articles by this author Expand All Advertisement PDF downloadLoading ...

Spontaneous Subcapsular Renal Hematoma: Report of Case Misdiagnosed as Acute Appendicitis

No AccessJournal of Urology1 Aug 1960Spontaneous Subcapsular Renal Hematoma: Report of Case Misdiagnosed as Acute Appendicitis Alexander R. Mackenzie Alexander R. MackenzieAlexander R. Mackenzie Present address: Memorial Center, New York, N. Y. More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)65526-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1960 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByKendall A, Senay B and Coll M (2018) Spontaneous Subcapsular Renal Hematoma: Diagnosis and ManagementJournal of Urology, VOL. 139, NO. 2, (246-249), Online publication date: 1-Feb-1988.deKernion J (2018) Editorial CommentJournal of Urology, VOL. 139, NO. 2, (249-250), Online publication date: 1-Feb-1988. Volume 84Issue 2August 1960Page: 243-245 Advertisement Copyright & Permissions© 1960 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Alexander R. Mackenzie Present address: Memorial Center, New York, N. Y. More articles by this author Expand All Advertisement PDF DownloadLoading ...

Perirenal Hematoma Primary with Polycythemia

No AccessJournal of Urology1 May 1930Perirenal Hematoma Primary with Polycythemia1 David W. MacKenzie David W. MacKenzieDavid W. MacKenzie More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)72986-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1930 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByDowns R and Hewett A (2018) Hypertension Due to Subcapsular Renal HematomaJournal of Urology, VOL. 88, NO. 1, (22-24), Online publication date: 1-Jul-1962.Mackenzie A (2018) Spontaneous Subcapsular Renal Hematoma: Report of Case Misdiagnosed as Acute AppendicitisJournal of Urology, VOL. 84, NO. 2, (243-245), Online publication date: 1-Aug-1960.Spriggs A (2018) Perinephric CystsJournal of Urology, VOL. 67, NO. 4, (414-432), Online publication date: 1-Apr-1952.Aschner P and Klinger M (2018) Subcapsular Renal Hemorrhage Causing Anuria of Single KidneyJournal of Urology, VOL. 65, NO. 5, (777-780), Online publication date: 1-May-1951. Volume 23Issue 5May 1930Page: 535-543 Advertisement Copyright & Permissions© 1930 by The American Urological Association Education and Research, Inc.MetricsAuthor Information David W. MacKenzie More articles by this author Expand All Advertisement PDF DownloadLoading ...