Subcapsular renal hematoma complicating acute pyelonephritis.

Area of Science:

• Nephrology
• Urology
• Radiology

Background:

• Acute pyelonephritis (APN) is a common kidney infection.
• Subcapsular renal hematoma (SRH) is an exceptionally rare complication of APN.
• Ureteral stones can coexist with APN.

Observation:

• A case of SRH complicating APN in the presence of a ureteral stone is presented.
• The clinical presentation and diagnostic imaging findings are detailed.
• A comprehensive literature review was conducted.

Findings:

• This case represents a rare confluence of APN, ureteral stone, and SRH.
• The literature review provides insights into the pathophysiology and management of SRH in this context.
• The successful management of the patient is discussed.

Implications:

• Increased awareness of SRH as a potential complication of APN, especially with ureteral stones.
• Guidance for diagnosis and management strategies for this rare clinical scenario.
• Contribution to the limited existing literature on SRH complicating APN.