Nazer Ahmed, Awwad Ahmed Al, Aljuhayman Ahmed, Alasker Ahmed, Bin Hamri Saeed
Urology Division, King Abdul Aziz Medical City National Guard Hospital, Riyadh 12225-8984, Saudi Arabia.
Urology Division, King Abdul Aziz Medical City National Guard Hospital, Riyadh 12145-3704, Saudi Arabia.
J Surg Case Rep. 2019 May 3;2019(5):rjz125. doi: 10.1093/jscr/rjz125. eCollection 2019 May.
This is a case report of 45-year-old female patient who presented with right flank pain. Abdominopelvic CT scan showed right renal pelvis stone measuring 20 mm. Right flexible ureterorenoscopy with holmium laser was performed in our institute. Postoperatively, she was febrile and pale. Immediate Abdominopelvic CT scan was obtained which revealed a large right subcapular hematoma. Conservative management was maintained for a week. Two months later, repeated Abdominopelvic CT scan showed regression of right subcapsular renal hematoma with stone fragments migration into the perinephric space as a first presentation in the world.
这是一例45岁女性患者的病例报告，该患者出现右侧胁腹疼痛。腹盆腔CT扫描显示右肾盂结石，大小为20毫米。在我们研究所进行了右侧软性输尿管肾镜钬激光手术。术后，她出现发热和面色苍白。立即进行了腹盆腔CT扫描，结果显示右侧巨大的包膜下血肿。保守治疗维持了一周。两个月后，重复进行的腹盆腔CT扫描显示右侧包膜下肾血肿消退，结石碎片迁移至肾周间隙，此为世界首例报告。
