Renal subcapsular hematoma after cardiac catheterization

Area of Science:

• Cardiology
• Vascular Surgery
• Nephrology

Background:

• Vascular complications are known sequelae of cardiac catheterization procedures.
• Hematoma formation at the access site is the most common complication.
• Other reported hematomas include retroperitoneal, intraperitoneal, groin/thigh, and abdominal wall types.

Observation:

• A 53-year-old male presented with acute myocardial infarction requiring emergent percutaneous coronary intervention.
• Post-procedure, a subcapsular hematoma developed over the left kidney.
• The patient was managed conservatively with intravenous fluids and blood transfusion.

Findings:

• This case represents the first reported instance of a subcapsular kidney hematoma occurring after cardiac catheterization in the English literature.
• The patient's condition was successfully managed with supportive care.

Implications:

• Highlights the potential for rare and unusual vascular complications following cardiac catheterization.
• Emphasizes the importance of recognizing and managing diverse hematoma presentations.
• Suggests the need for vigilance regarding non-traditional hematoma locations after invasive cardiovascular procedures.