Spontaneous Subcapsular Renal Haematoma : A Case Report
Varinder Singh1, Sreenivas Jayaram2, Dhananjaya Br Kumar1
1Senior Resident, Department of MCH Urology, Institute of Nephrourology, Bangaluru, Karnataka, India.
Journal of Clinical and Diagnostic Research : JCDR
|October 4, 2017
Summary
A rare spontaneous subcapsular renal hematoma in a 38-year-old female, initially managed conservatively, required surgical drainage. This case highlights diagnostic and management challenges for this uncommon condition.
Area of Science:
- Nephrology
- Urology
- Radiology
Background:
- Spontaneous subcapsular renal hematoma is a rare clinical entity.
- It presents with diverse symptoms, complicating diagnosis and treatment.
- Hypertension can be associated with renal hematomas.
Observation:
- A 38-year-old female presented with a week of right flank pain and tenderness.
- Imaging revealed a right renal subcapsular collection; conservative management, including an Angiotensin Converting Enzyme (ACE) inhibitor for hypertension, was initiated.
- A double J stent was placed due to a urinoma, but a repeat CT scan showed persistent collection without an identifiable cause.
Findings:
- Despite conservative measures and stent placement, the subcapsular renal collection persisted.
- No definitive cause for the spontaneous renal hematoma was identified, apart from associated hypertension.
- Surgical exploration and drainage of the subcapsular hematoma were ultimately required.
Implications:
- This case underscores the diagnostic and management complexities of spontaneous subcapsular renal hematomas.
- Surgical intervention may be necessary when conservative approaches fail.
- Further research into the etiology and optimal management strategies for these rare hematomas is warranted.
