Open Access

RESIDENT’S CORNER

Subcapsular hematoma in a solitary kidney: successful conservative management

John M. Myrga¹, Christopher J. Staniorski¹, Robert M. Turner III¹, Michelle J. Semins²

1 Department of Urology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
2 Department of Urology, West Virginia University, Wheeling, West Virginia, USA
Address correspondence to Dr. Michelle J. Semins, 20 Medical Park, Suite 201, Tower 2, Wheeling, WV 26003 USA

Canadian Journal of Urology 2022, 29(3), 11190-11193.

Abstract

Subcapsular renal hematoma (SRH) is an infrequent complication of urologic interventions but can lead to serious consequences in patients with a solitary kidney. We present our experience with conservative management of a patient with a solitary kidney and multiple medical comorbidities who developed a SRH and subsequent renal failure after nephroureteral catheter placement. Literature on the management of this unique clinical scenario is limited. Herein, we share our experience with supportive care and temporary dialysis in a medically complex patient whose outcome is complete renal recovery.

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