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A spontaneous renal subcapsular hematoma case due to uncontrolled hypertension and anticoagulant therapy

Year 2012, Volume: 18 Issue: 3, 173 - 176, 01.04.2012

Abstract

Spontaneous subcapsular hematoma is a rare pathology which presents in capsular organs in the body. Kidney is also an anatomic structure where a subcapsular bleeding can be identified, although there might be no clinical sign, a life treating appearance might exist with the patient. In diagnosis, usually no argument occurs, while there is not a consensus in the treatment. Decision of the treatment has variations due to the etiology and patient's clinical situation. Different treatment modalities as conservative approach, capsulotomy, percutaneus drainage and radical nephrectomy might be the options. A 84 year-old female patient who has a history of anticoagulant intake admitted to the emergency department with a hypertensive episode and with imaging methods, renal subcapsular hematoma was diagnosed, conservative approach was commented in the light of the current literature.

References

  • 1 Katabathina VS, Katre R, Prasad SR, Surabhi VR, Shanbhogue AK, Sunnapwar A. Wunderlich syndrome: cross-sectional imaging review. J Comput Assist Tomogr 2011;35(4):425-33
  • 2 Kendall AR, Senay BA, Coll ME. Spontaneous subcapsular renal hematoma: Diagnosis and management. J Urol 1988;139(4):246-50
  • 3 Mas M, Top C, Erdem H, Koç B, Baykal Y. Spontaneous bilateral rupture of kidneys in two patients with poliarteritis nodosa. Turkiye Klinikleri J Med Sci 1996;16(6):455-7
  • 4 Capitanini A, Tavolaro A, Rosellini M, Rossi A. Wunderlich syndrome during antiplatelet drug therapy. Clin Nephrol 2009;71(3):342-4
  • 5 Mabjeesh NJ, Matzkin H. Spontaneous subcapsular renal hematoma secondary to anticoagulant therapy. J Urol 2001;165(4):1201
  • 6 Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal hemorrhage: A meta-analysis. J Urol 2002;167(4):1593-6
  • 7 Chen C-Y, Lin M-H, Chen Y-C, Chang S-Y. Spontaneous bilateral renal subcapsular hematoma as a possible complication of myeloproliferative disorders. J Med Sci 2009;29(5):273-5
  • 8 Watanabe J, Konishi T, Tomoyoshi T. Nontraumatic subcapsular renal hematoma: report of a case. Hinyokika Kiyo 1989;35(4):661-4
  • 9 Baishya RK, Dhawan DR, Sabnis RB, Desai MR. Spontaneous subcapsular renal hematoma: A case report and review of literature Urol Ann 2011;3(1):44-6
  • 10 Wada K, Wada Y, Iino Y. Two cases of acute renal hemorrhage undergoing maintenance hemodialysis after concurrent administration of cinacalcet. Clin Exp Nephrol 2011;15(5):783- 7
  • 11 Koo V, Duggan B, Lennon G. Spontaneous rupture of kidney with peri-renal haematoma: A conservative approach. Ulster Med J 2004;73(1):53---6
  • 12 Mita K, Kobukata Y. Conservative management of nontraumatic subcapsular renal hematoma: a case report. Int J Urol 1994;1(2):181-2
  • 13 Habib M. Arterial embolization for spontaneous rupture of renal cell carcinoma. Saudi J Kidney Dis Transpl 2011;22(6):1243-5
  • 14 Page IH. The production of persistent arterial hypertension by cellophane perinephritis. JAMA 1939;113(23):2046-8
  • 15 Engel WJ, Page IH. Hypertension due to renal compression resulting from subcapsular hematoma. J Urol 1955;73(5):735-9
  • 16 Gori S, Masotti L, Cannistraro D, Bellizzi A, Mannucci A, Scotto FP, et al. Spontaneous renal subcapsular hematoma in a very old patient presenting with shock and severe anemia: an uncommon oral anticoagulant treatment-related complication
  • Geriatr Gerontol Int 2012;12(1):166-8.

Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu

Year 2012, Volume: 18 Issue: 3, 173 - 176, 01.04.2012

Abstract

Spontan subkapsüler hematom anatomik kapsüle sahip organlarda çok nadir olarak izlenen bir patolojidir. Böbrek de subkapsüler kanamanın gözlenebileceği anatomik yapılardan birisidir ve hastada klinik olarak hiçbir semptom görülmeyeceği gibi hayatı tehdit edebilen kanama tablosu ile de karşımıza çıkabilir. Tanı aşamasında çok fazla tartışma yaşanmazken tedavi aşamasında farklı görüşler savunulmaktadır. Altta yatan etyolojiye ve hastanın co-morbid durumuna göre tedavi planı çeşitlilik göstermektedir. Konservatif yaklaşım, kapsülotomi, perkütan drenaj ve nefrektomi gibi farklı tedavi planları uygulanabilir. Seksen dört yaşında antikoagülan kullanma öyküsü olan hipertansif atak nedeni ile acil servise başvuran, görüntüleme yöntemleri ile renal subkapsüler hematom tanısı konan kadın hastanın konservatif yaklaşım ile değerlendirilmesi literatür eşliğinde sunulmuştur.

References

  • 1 Katabathina VS, Katre R, Prasad SR, Surabhi VR, Shanbhogue AK, Sunnapwar A. Wunderlich syndrome: cross-sectional imaging review. J Comput Assist Tomogr 2011;35(4):425-33
  • 2 Kendall AR, Senay BA, Coll ME. Spontaneous subcapsular renal hematoma: Diagnosis and management. J Urol 1988;139(4):246-50
  • 3 Mas M, Top C, Erdem H, Koç B, Baykal Y. Spontaneous bilateral rupture of kidneys in two patients with poliarteritis nodosa. Turkiye Klinikleri J Med Sci 1996;16(6):455-7
  • 4 Capitanini A, Tavolaro A, Rosellini M, Rossi A. Wunderlich syndrome during antiplatelet drug therapy. Clin Nephrol 2009;71(3):342-4
  • 5 Mabjeesh NJ, Matzkin H. Spontaneous subcapsular renal hematoma secondary to anticoagulant therapy. J Urol 2001;165(4):1201
  • 6 Zhang JQ, Fielding JR, Zou KH. Etiology of spontaneous perirenal hemorrhage: A meta-analysis. J Urol 2002;167(4):1593-6
  • 7 Chen C-Y, Lin M-H, Chen Y-C, Chang S-Y. Spontaneous bilateral renal subcapsular hematoma as a possible complication of myeloproliferative disorders. J Med Sci 2009;29(5):273-5
  • 8 Watanabe J, Konishi T, Tomoyoshi T. Nontraumatic subcapsular renal hematoma: report of a case. Hinyokika Kiyo 1989;35(4):661-4
  • 9 Baishya RK, Dhawan DR, Sabnis RB, Desai MR. Spontaneous subcapsular renal hematoma: A case report and review of literature Urol Ann 2011;3(1):44-6
  • 10 Wada K, Wada Y, Iino Y. Two cases of acute renal hemorrhage undergoing maintenance hemodialysis after concurrent administration of cinacalcet. Clin Exp Nephrol 2011;15(5):783- 7
  • 11 Koo V, Duggan B, Lennon G. Spontaneous rupture of kidney with peri-renal haematoma: A conservative approach. Ulster Med J 2004;73(1):53---6
  • 12 Mita K, Kobukata Y. Conservative management of nontraumatic subcapsular renal hematoma: a case report. Int J Urol 1994;1(2):181-2
  • 13 Habib M. Arterial embolization for spontaneous rupture of renal cell carcinoma. Saudi J Kidney Dis Transpl 2011;22(6):1243-5
  • 14 Page IH. The production of persistent arterial hypertension by cellophane perinephritis. JAMA 1939;113(23):2046-8
  • 15 Engel WJ, Page IH. Hypertension due to renal compression resulting from subcapsular hematoma. J Urol 1955;73(5):735-9
  • 16 Gori S, Masotti L, Cannistraro D, Bellizzi A, Mannucci A, Scotto FP, et al. Spontaneous renal subcapsular hematoma in a very old patient presenting with shock and severe anemia: an uncommon oral anticoagulant treatment-related complication
  • Geriatr Gerontol Int 2012;12(1):166-8.
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Berat Cem Özgür This is me

Asım Özayar This is me

Musa Ekici This is me

Ömer Bayrak This is me

Publication Date April 1, 2012
Published in Issue Year 2012 Volume: 18 Issue: 3

Cite

APA Özgür, B. C., Özayar, A., Ekici, M., Bayrak, Ö. (2012). Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu. Gaziantep Medical Journal, 18(3), 173-176.
AMA Özgür BC, Özayar A, Ekici M, Bayrak Ö. Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu. Gaziantep Medical Journal. April 2012;18(3):173-176.
Chicago Özgür, Berat Cem, Asım Özayar, Musa Ekici, and Ömer Bayrak. “Kontrolsüz Hipertansiyon Ve antikoagülan Tedaviye bağlı oluşan Spontan Renal subkapsüler Hematom Olgusu”. Gaziantep Medical Journal 18, no. 3 (April 2012): 173-76.
EndNote Özgür BC, Özayar A, Ekici M, Bayrak Ö (April 1, 2012) Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu. Gaziantep Medical Journal 18 3 173–176.
IEEE B. C. Özgür, A. Özayar, M. Ekici, and Ö. Bayrak, “Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu”, Gaziantep Medical Journal, vol. 18, no. 3, pp. 173–176, 2012.
ISNAD Özgür, Berat Cem et al. “Kontrolsüz Hipertansiyon Ve antikoagülan Tedaviye bağlı oluşan Spontan Renal subkapsüler Hematom Olgusu”. Gaziantep Medical Journal 18/3 (April 2012), 173-176.
JAMA Özgür BC, Özayar A, Ekici M, Bayrak Ö. Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu. Gaziantep Medical Journal. 2012;18:173–176.
MLA Özgür, Berat Cem et al. “Kontrolsüz Hipertansiyon Ve antikoagülan Tedaviye bağlı oluşan Spontan Renal subkapsüler Hematom Olgusu”. Gaziantep Medical Journal, vol. 18, no. 3, 2012, pp. 173-6.
Vancouver Özgür BC, Özayar A, Ekici M, Bayrak Ö. Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı oluşan spontan renal subkapsüler hematom olgusu. Gaziantep Medical Journal. 2012;18(3):173-6.