[The urological complications of anticoagulant therapy].
Patients on anticoagulant therapy may develop urologic complications, the most common being hematuria. Other less common but more severe complications are spontaneous hemorrhage arising from urological structures, as spontaneous perirenal hematoma, or from extra-urological structures, such as the iliac psoas muscle or the anterior rectus abdominis muscle. We report on four patients on anticoagulant therapy for different reasons, with no previous history of trauma, who suddenly developed spontaneous bleeding with urologic consequences: spontaneous perirenal hematoma (2), hematoma of the iliac muscle (1) and the anterior rectus abdominis muscle (1). The diagnostic strategy, the usefulness of the different imaging techniques and our approach to these complications are discussed.
Reig Ruíz
C
C
Servicio de Urología, Hospital General Universitario Valle de Hebrón, Barcelona, España.
Morote Robles
J
J
Lorente Garín
J A
JA
Idoipe Tomás
J I
JI
López Pacios
M A
MA
de Torres Mateos
J A
JA
Soler Roselló
A
A
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000175:diagnosis; D006470:Hemorrhage / Q000139:chemically induced / Q000175:diagnosis; D006801:Humans; D007674:Kidney Diseases / Q000139:chemically induced / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D016658:Psoas Muscles; D017568:Rectus Abdominis; D012187:Retroperitoneal Space; D014570:Urologic Diseases / Q000139:chemically induced* / Q000175:diagnosis
D000925:Anticoagulants
Complicaciones urológicas de la terapéutica anticoagulante.