Page kidney post ureteroscopy: a case report
Raed AlQahtani1, Mohammed Alfozan1
1College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Journal of Surgical Case Reports
|February 22, 2021
Summary
Subcapsular renal hematoma is a rare complication following ureteroscopy. This condition can lead to Page kidney, causing hypertension and renal failure, but percutaneous drainage may be an option.
Area of Science:
- Urology
- Nephrology
- Surgical Complications
Background:
- Renal injury is a recognized complication in urological surgery, particularly in high-risk patients.
- Subcapsular renal hematoma is an uncommon complication associated with procedures like extracorporeal shockwave lithotripsy and percutaneous nephrolithotomy.
Observation:
- Few cases of subcapsular hematomas have been reported following ureteroscopy.
- The clinical presentation ranges from spontaneous resolution to acute renal failure due to Page kidney.
Findings:
- Page kidney, characterized by hypertension and potential renal failure, results from external compression by a subcapsular hematoma.
- Management strategies for subcapsular hematoma are varied and depend on clinical presentation and severity.
Implications:
- Percutaneous drainage presents a viable management option for hemodynamically stable patients with subcapsular hematoma.
- Understanding and recognizing this complication is crucial for appropriate patient management in urological practice.
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