TY - JOUR
TI - Renal Hematomas after Ureterolithotripsy: Report of Four Cases
AU - Mitsogiannis, I.C.
AU - Kostakopoulos, N.A.
AU - Lazarou, L.
AU - Deliveliotis, K.
AU - Karagiotis, T.
AU - Deliveliotis, C.
JO - Journal of Endourology Case Reports
PY - 2020
VL - 6
TODO - 1
SP - 26-29
PB - MARY ANN LIEBERT INC PUBL
SN - null
TODO - 10.1089/cren.2019.0103
TODO - antibiotic agent;  antihypertensive agent;  C reactive protein;  carbapenem;  creatinine;  hemoglobin;  infusion fluid;  inotropic agent;  nonsteroid antiinflammatory agent;  opiate;  piperacillin plus tazobactam;  succimer;  vancomycin, abdominal pain;  adult;  aged;  analgesia;  antibiotic prophylaxis;  antibiotic therapy;  antihypertensive therapy;  Article;  artificial embolization;  bed rest;  cancer surgery;  case report;  clinical article;  combination drug therapy;  conservative treatment;  creatinine blood level;  enterococcal infection;  Enterococcus;  erythrocyte transfusion;  extracorporeal shock wave lithotripsy;  female;  fever;  hematocrit;  hematoma;  hematuria;  hemoglobin blood level;  hospital admission;  human;  hydronephrosis;  hypertension;  hypotension;  iatrogenic disease;  kidney angiography;  kidney colic;  kidney function;  kidney hemorrhage;  kidney scintiscanning;  leukocyte transfusion;  lithotripsy;  local anesthesia;  low back pain;  low level laser therapy;  male;  medical history;  metabolic acidosis;  middle aged;  nephroureterectomy;  pain severity;  perirenal hematoma;  pleura effusion;  priority journal;  Pseudomonas infection;  radical resection;  sepsis;  subcapsular hematoma;  tachycardia;  transitional cell carcinoma;  ureter stone;  ureterohydronephrosis;  ureterolithotripsy;  ureteropelvic junction;  ureteroscopy;  urinary tract infection;  urine culture;  urography;  x-ray computed tomography
TODO - Background: Renal hematomas, although relatively rare, are potentially life-threatening complications after ureterolithotripsy. Case Presentation: We present four cases of renal hematomas that occurred in our department during the past decade (2008-2018). Unstable vital signs, increased inflammatory markers, fever, and flank pain were the commonest postoperative findings. Two patients were treated conservatively and had an uneventful recovery, whereas one patient underwent selective arterial embolization for bleeding control. The fourth patient was diagnosed with contralateral ureteral urothelial tumor and ultimately underwent contralateral radical nephroureterectomy. Conclusion: Application of safety measures during ureteroscopy may reduce the incidence of perirenal hematomas. Prompt diagnosis is based on a thorough clinical examination in combination with imaging to evaluate the location and extent of the hematoma. © Copyright 2020, Mary Ann Liebert, Inc., publishers.
ER -