PDF(Pubmed)
Abstract：
Subcapsular hematoma (SRH) or perirenal hematoma (PRH) can be seen after trauma, interventional radiological procedures, urological procedures, anticoagulant medications, coagulation disorders, infections, and spontaneously in some patients. Within the urological procedures, PRH can occur after percutaneous nephrolithotomy and extracorporeal shortwave lithotripsy but has only been reported a few times after cystoscopy/ureteroscopy. Here, we present the case of PRH as a complication from cystoscopy with retrograde pyelography in a patient with underlying chronic kidney disease (CKD) and an extensive surgical history for nephrolithiasis. In addition to this, our patient had a further complication of sepsis by Candida albicans, of which the source is proven to be urinary, and it appears that the fungemia was triggered during the procedure as well. The diagnosis was confirmed by abdominal computed tomography (CT), and PRH was proven to resolve with conservative management on repeat imaging months later.
摘要：
创伤后可见包膜下血肿（SRH）或肾周血肿（PRH），介入放射学程序，泌尿外科手术，抗凝药物,凝血障碍，感染,在一些患者中自发出现。在泌尿外科手术中，PRH可在经皮肾镜取石术和体外短波碎石术后发生，但在膀胱镜检查/输尿管镜检查后仅报道过几次。这里,我们介绍了一例原发性慢性肾脏病(CKD)和广泛的肾结石手术史患者的膀胱镜检查伴逆行肾盂造影的并发症。除此之外,我们的病人还有一个由白色念珠菌引起的脓毒症并发症，其来源被证明是泌尿，而且看起来真菌血症也是在手术过程中引发的。诊断通过腹部计算机断层扫描（CT）证实，经保守治疗证实,PRH在数月后重复成像后可消退.
