Spontaneous subcapsular renal hematoma: A case report and review of literature

Baishya, Ramen Kumar; Dhawan, Divya R; Sabnis, RB; Desai, Mahesh

doi:10.4103/0974-7796.75852

Cited by 29 publications

(8 citation statements)

References 15 publications

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“…So, prompt diagnosis and treatment is essential. 3 In this study, we share our experience with diagnosis and retroperitoneal laparoscopic renal capsulectomy for patients with spontaneous renal subcapsular fluid collection, and evaluated the surgical outcomes for these patients.…”

Section: Introductionmentioning

confidence: 99%

The Retroperitoneal Laparoscopic Renal Capsulectomy for Spontaneous Renal Subcapsular Fluid Collection

Zhu

Wu²,

Wu³

et al. 2016

Medicine

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Spontaneous renal subcapsular fluid collection may occur as a rare presentation of nephritic syndrome, and distension of the renal capsula and Gerota fascia due to massive fluid accumulation may cause pain. In addition, hypertension secondary to renal ischemia and activation of renin–angiotensin–aldosterone system may also occur. The objective of this study is to evaluate the surgical outcome of retroperitoneal laparoscopic renal capsulectomy for patients with this disease.We retrospectively analyzed the clinical data of 10 female patients with spontaneous renal subcapsular fluid collection, diagnosed with B ultrasound and enhanced computed tomography (CT) scan. Eight patients first underwent percutaneous renal subcapsular drainage, which seemed to be less effective, and then all patients underwent retroperitoneal laparoscopic renal capsulectomy. The volume of renal subcapsular fluid was documented, the fluid was examined by routine biochemical tests, and the excised renal capsules underwent pathological examination individually. The postoperative drainage time for each patient was documented, and follow-up was conducted 1, 3, 6, 12 months, and 2 years postoperatively.Retroperitoneal laparoscopic renal capsulectomy was successfully performed in all patients with no major complications. The average volume of renal subcapsular fluid was 436 milliliter (mL, 180–880 mL) in light yellow color, and the concentration of creatinine and urea nitrogen was quite similar to that of serum. The pathological findings revealed fibrous dysplasia of the renal capsule with chronic infiltration of inflammatory cells. The average drainage time was 11.5 days (5–30 days) postoperatively. All patients recovered 1 month after the operation and there were no recurrences with a mean follow-up period of 12 months (6–24 months).The reason for spontaneous renal subcapsular fluid collection is unknown, and the aim of treatment is mainly to alleviate symptoms. In our experience, retroperitoneal laparoscopic renal capsulectomy is an effective surgical treatment, especially for patients who were refractory to percutaneous renal subcapsular drainage, with no observed recurrence.

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Section: Introductionmentioning

confidence: 99%

The Retroperitoneal Laparoscopic Renal Capsulectomy for Spontaneous Renal Subcapsular Fluid Collection

Zhu

Wu²,

Wu³

et al. 2016

Medicine

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“…Early diagnosis can be aided by accurate clinical assessment and appropriate imaging. The initial imaging of choice is an ultrasound abdomen, although abdominal CT has a 100% sensitivity [ 6 - 8 ].…”

Section: Discussionmentioning

confidence: 99%

A Renal Colic Mimic - Wunderlich Syndrome: A Case Report

Sirajudeen¹,

Purayil²,

Parambath³

et al. 2020

Cureus

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Wunderlich syndrome is a rare clinical syndrome characterized by the sudden onset of spontaneous, nontraumatic hemorrhage into renal subcapsular and retroperitoneal region. We present the case of a 24-year-old hypertensive who presented with acute flank pain and was found to have perinephric hematoma. He was managed conservatively and the follow-up revealed complete resolution of the hematoma with no structural abnormality of kidney. His connective tissue disorder/vasculitis work up was also normal.

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“…Since antithrombotic or anticoagulation medication could worsen the renal subcapsular hematoma, clinicians should consider this type of complication in acute ischemic stroke patients with abdominal pain after thrombolysis. As a history of hypertension cannot be completely ruled out of aggravating spontaneous renal subcapsular hematoma, strictly controlling of blood pressure is also important [ 10 ]. This case highlights that careful medical observation is needed in patients with acute cerebral infarction who undergo reperfusion therapy.…”

Section: Discussionmentioning

confidence: 99%

Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

Kim

Lee

2016

Neurointervention

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A 74-year-old female with acute cerebral infarction was treated with intravenous recombinant tissue plasminogen activator. Subsequent percutaneous transfemoral angiography and mechanical thrombectomy were performed due to a right middle cerebral artery occlusion, which was successfully recanalized. Two days after treatment, the patient complained of vague right abdominal pain and a laboratory test showed anemia. Abdominal computed tomography showed a right renal subcapsular hematoma. After conservative management, the patient was discharged without complications. We report a rare complication after intravenous thrombolysis in a patient with acute cerebral infarction.

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Spontaneous subcapsular renal hematoma: A case report and review of literature

Cited by 29 publications

References 15 publications

The Retroperitoneal Laparoscopic Renal Capsulectomy for Spontaneous Renal Subcapsular Fluid Collection

The Retroperitoneal Laparoscopic Renal Capsulectomy for Spontaneous Renal Subcapsular Fluid Collection

A Renal Colic Mimic - Wunderlich Syndrome: A Case Report

Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

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