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CASE REPORT   

Journal of Radiological Review 2021 December;8(4):349-51

DOI: 10.23736/S2723-9284.21.00143-2

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Subcapsular hematoma after ureterolithotripsy: a case report of a rare complication

Antonio TUFANO 1 , Antonio ROSSI 2, Alessandro CALARCO 2, Nicola RUSSO 2, Rocco MINELLI 3, Michele ANTONUCCI 2

1 Department of Urology, Sapienza University, Rome, Italy; 2 Department of Urology, Cristo Re Hospital, Rome, Italy; 3 V. Tiberio Department of Medicine and Health, University of Molise, Campobasso, Italy



Ureteroscopic lithotripsy (URSL) is an effective procedure for ureteral stones with high stone-free rate. Among the major complications, subcapsular renal hematoma after ureteroscopy (URS) has rarely been described in literature. We report an early atypical but serious complication after URSL using holmium: yttrium-aluminum-garnet (Ho:YAG) laser for 1 cm left iliac ureteral stone. A 10×8 cm subcapsular hematoma with an active bleeding was diagnosed few hours after surgery in a patient who did not assume anticoagulant therapy. This rare complication must be known by urologists who perform these procedures. Operation duration and hydraulic irrigation needs to be strictly controlled. Management of post-URS subcapsular hematomas must be customized for each patient, in this case a conservative approach led to an effective resolution of the hematoma.


KEY WORDS: Hematoma; Ureteroscopy; Lithotripsy; Lasers

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