Alrabadi Adel, Mansi Hammam, Alhamss Sohaib, Al Demour Saddam, Odeh Mahmoud
Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Amman, Jordan.
Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Amman, Jordan.
Int J Surg Case Rep. 2020;75:357-360. doi: 10.1016/j.ijscr.2020.09.036. Epub 2020 Sep 16.
Ureteroscopy with pneumatic lithotripsy is a relatively safe procedure for the management of the ureteral stone disease. However; subcapsular hematoma and even huge perinephric hematoma are potentially serious events that may complicate this procedure and must be kept in mind.
We present a case of huge perinephric hematoma post ureteroscopy and pneumatic lithotripsy for an impacted ureteral stone.
The occurrence of such a rare complication in a relatively safe procedure must be taken into consideration especially while dealing with patients with long-standing obstruction and thin renal cortex. Furthermore, the risk of bleeding should be included in risk-benefit counselling before ureteroscopic lithotripsy.
输尿管镜气压弹道碎石术是治疗输尿管结石疾病相对安全的手术。然而，肾包膜下血肿甚至巨大的肾周血肿是可能使该手术复杂化的潜在严重事件，必须予以重视。
我们报告一例因输尿管结石嵌顿行输尿管镜气压弹道碎石术后出现巨大肾周血肿的病例。
在相对安全的手术中出现这种罕见并发症必须予以考虑，尤其是在处理存在长期梗阻和肾皮质薄的患者时。此外，在输尿管镜碎石术前的风险效益咨询中应纳入出血风险。
