Ultrasound and Computed Tomography Findings of Spontaneous Intramural Hemorrhage of Renal Pelvis and Ureter in Patient With Hemophilia A

Kırbaş, İsmail; Özgül, Esra; Avcı, Zekai; Çoşkun, Mehmet; Özbek, Namık

doi:10.1016/j.urology.2008.06.012

Cited by 10 publications

(6 citation statements)

References 10 publications

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“…Bilateral involvement is more suggestive of a systemic process than malignancy. When suburothelial hemorrhage is suspected the patient's medical records should be reviewed for anticoagulation therapy or other bleeding diatheses such as hemophilia or factor V deficiency [ 1 , 9 , 10 ]. Other associations reported in the literature include trauma, diabetes, hypertension, drug abuse, and amyloidosis [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Spontaneus Suburothelial Hemorrhage Associated With Forniceal Rupture and Retroperitoneal Hemorrhage

Zelaya¹,

Byerly²,

Zarka³

2022

Cureus

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Spontaneous suburothelial hemorrhage is a rare process of unclear pathologic etiology, although it has been associated with bleeding diathesis and anticoagulation. The most common clinical presentation is acute onset flank pain and macroscopic hematuria. On imaging, there is a mural thickening of the renal pelvis and upper ureters leading to luminal narrowing. Despite luminal narrowing, hydronephrosis has only rarely been reported in the association. The imaging finding of mural thickening has led to the misdiagnosis as malignancy, resulting in unnecessary nephrectomy. Suburothelial hemorrhage can be unilateral or bilateral, although the majority of reported cases are unilateral. We present a case of a patient with bilateral spontaneous suburothelial hemorrhage with forniceal rupture and spontaneous retroperitoneal hemorrhage, a unique triad compared to prior cases presented in the literature.

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Section: Discussionmentioning

confidence: 99%

Spontaneus Suburothelial Hemorrhage Associated With Forniceal Rupture and Retroperitoneal Hemorrhage

Zelaya¹,

Byerly²,

Zarka³

2022

Cureus

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“…Hemofili A ve diğer pıhtılaşma faktörlerinin eksikliğine bağlı spontan kanama deyimi, ilgili bölgeye herhangi bir travma olmaksızın oluşan kanamaları tarif etmek için kullanılmaktadır (Heer et al, 2008). Faktör VIII düzeyinin %1'in altında olduğu şiddetli hemofili vakalarında büyük eklemleri, kas dokusunu ve yumuşak dokuyu içine alan spontan kanama atakları görülebildiği bildirilmiştir (Kirbas et al, 2008). Tekrarlayan eklem ve kas içi kanamalar kontraktürlere ve deformitelere neden olmakta ve bu da hastanın normal fiziksel ve fonksiyonel işlevlerini bozmaktadır (Lancourt et al, 1977).…”

Section: Discussionunclassified

Inguinal hematom nedeniyle acil serviste takip edilen hemofili olgusu

Erenler¹,

Yardan²,

Baydın³

et al. 2011

jecm

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Acil servise kasıkta şişlik ve ağrı yakınması ile başvuran 38 yaşında erkek hemofili A hastasını sunduk. Uzun yıllardır faktör VIII eksikliği nedeniyle tedavi alan ve pek çok defa acil servise başvuran hasta, ilk defa böylesi bir yakınma nedeni ile acil servise baş-vurmuştu. Durumun erken tanınmasının ve tedavi edilmesinin hastaların komplikasyonlardan korunmasında etkili olduğunu saptadık.J. Exp. Clin. Med., 2011; 28:189-191 ABSTRACTWe described a case report of a 38-year-old male hemophilia A patient who presented to our emergency department with swelling and pain on groin. Although he was medicated for factor VIII deficiency for many years and visited our department for many other reasons, this was the first time he presented with such a complaint. We pointed out that early diagnosis and treatment of this condition is cruical for preventing patients from complications.

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“…The CT without contrast shows a lesion of the pelvic and/or ureteral wall with highattenuation values because of the blood remnants that will allow to determine its chronological evolution. 6,11 The lesion does not enhance with contrast, 6,7,11,12 unlike a neoplastic lesion. Repeating an imaging test (CT without contrast) several weeks after the acute process is indicated to confirm the resolution of the subepithelial hemorrhage.…”

Section: Commentmentioning

confidence: 98%

“…2 There is an increased incidence of bleeding in anticoagulated patients ranging from 4 to 24%, 5 with the urinary tract bleeding complications being the most frequent, documented in up to 40% of the patients receiving longterm anticoagulant therapy. 6,7 The location of the bleeding can be intrarenal (also called pseudotumor), subcapsular, perinephric, pararenal, intraluminal, and rarely intramural on the wall of the renal pelvis, the ureter, and the urinary bladder. 5,7 The patient whom we present did not have any type of anticoagulant therapy.…”

Section: Commentmentioning

confidence: 99%

“…The ultrasound may show mural thickening of the renal pelvis and/or ureter but, however, it cannot distinguish the hemorrhage of the edema or fluid collection. 6 It is therefore necessary to extend the radiological study by CT with and without contrast. The CT without contrast shows a lesion of the pelvic and/or ureteral wall with highattenuation values because of the blood remnants that will allow to determine its chronological evolution.…”

Section: Commentmentioning

confidence: 99%

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