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RESIDENT’S CORNER

Subcapsular hematoma after ureteroscopy and laser lithotripsy

Matheus Miranda Paiva, Rodrigo Donalisio da Silva, Paulo Jaworski, Fernando J. Kim, Wilson R. Molina

Division of Urology, Department of Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado, USA
Address correspondence to Dr. Wilson Molina, Division of Urology, Denver Health Hospital Authority, 777 Bannock Street, Denver, CO 80204 USA

Canadian Journal of Urology 2016, 23(4), 8385-8387.

Abstract

Subcapsular hematoma is an uncommon complication after ureteroscopy and laser lithotripsy. We report on a 38-year-old male with an 8 mm lower pole stone who underwent a left ureteroscopy and laser lithotripsy. The stone was successfully fragmented. Several hours after being discharged home, the patient returned complaining of back pain and hematuria. He was hemodynamically stable. Laboratory exams were normal. ACT study showed a crescent renal subcapsular hematoma surrounding the left kidney. The patient was admitted to the ward for conservative treatment. No additional intervention was necessary. Most subcapsular hematomas tend to resolve spontaneously.

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