Ureteroscopy with pneumatic lithotripsy is a relatively safe procedure for the management of the ureteral stone disease. However; subcapsular hematoma and even huge perinephric hematoma are potentially serious events that may complicate this procedure and must be kept in mind.
We present a case of huge perinephric hematoma post ureteroscopy and pneumatic lithotripsy for an impacted ureteral stone.
The occurrence of such a rare complication in a relatively safe procedure must be taken into consideration especially while dealing with patients with long-standing obstruction and thin renal cortex. Furthermore, the risk of bleeding should be included in risk-benefit counselling before ureteroscopic lithotripsy.
International journal of surgery case reports. 2020 Sep 16 [Epub ahead of print]
Adel Alrabadi, Hammam Mansi, Sohaib Alhamss, Saddam Al Demour, Mahmoud Odeh
Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Amman, Jordan. Electronic address: ., Department of Special Surgery/Division of Urology, The University of Jordan, School of Medicine, Amman, Jordan.