Massive retroperitoneal hematoma as an acute complication of retrograde intrarenal surgery:A case report

作     者：Taesoo Choi Jeonghyouk Choi Gyeong Eun Min Dong-Gi Lee 

作者机构：Department of UrologySchool of MedicineKyung Hee UniversitySeoul 05278South Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第16期

页      面：3914-3918页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Retroperitoneal hematoma Ureteral access sheath Retrograde intrarenal surgery Acute complication Case report 

摘      要：BACKGROUND Retrograde intrarenal surgery(RIRS)has been proven to be a safe and effective treatment modality in large-scale quantitative ***,although its safety profile has been established,it also has a potential risk of life-threatening *** here describe our experience with a patient who developed a huge periureteral hematoma after RIRS with holmium laser *** SUMMARY A 73-year-old woman visited our center with a complaint of gross *** enhanced computed tomography(CT)scan revealed a 1.5-cm left renal pelvis stone with *** patient underwent *** the surgery,a 12/14-Fr ureteral access sheath was applied and a 6-Fr ureteral catheter was indwelled *** postoperative day 1,she experienced aggravated left flank pain and left lower-quadrant tenderness without rebound tenderness.A follow-up CT scan was taken,which revealed a huge hematoma in the periureteral space,not in the perirenal space,with suspicious contrast medium *** angiography was performed;however,it showed no evidence of active *** was conservatively managed with hydration and antibiotic and nonsteroidal anti-inflammatory drug therapy,and was discharged on postoperative day ***,she visited our outpatient department with recurrent left flank pain at 5 d from *** confirmed that the double J-stent was *** rule out stent malfunction,the stent was *** size of the hematoma was observed in the imaging studies,and conservative management for candiduria was performed for 1 *** Although RIRS is an effective and safe procedure for the management of renal stones,clinicians should be aware of its potential complications.