Perinephric Hematoma Following Ureteroscopy and Holmium Laser Lith-otripsy
Branden G. Duffey*, Joseph Y. Lee , Manoj Monga
Identifiers and Pagination:Year: 2008
First Page: 36
Last Page: 37
Publisher Id: TOUNJ-1-36
Article History:Received Date: 15/10/2008
Revision Received Date: 14/11/2008
Acceptance Date: 24/11/2008
Electronic publication date: 5 /12/2008
Collection year: 2008
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
We present a case of a ureteropyeloscopy with holmium laser lithotripsy for a 5mm distal ureteral calculus that was complicated by perinephric hemorrhage despite utilization of a ureteral access sheath and the absence of any bleeding disorders. Conservative management was elected and the patient did not require transfusion of blood products. We believe this is the first case of perinephric hemorrhage under these circumstances and suggest that surgeons inform their patients of the low risk of bleeding complications with ureteroscopy.