Massive gross hematuria in a sickle cell trait patient with renal papillary necrosis. Conservative approach using a balloon ureteral catheter to tamponade the papilla bleeding.
We report the case of a patient with heterozygous sickle cell trait presenting with massive gross hematuria. Ureteroscopy revealed bleeding from the tip of papilla of the inferior calica and allowed us to tamponade the bleeding with a balloon ureteral dilator set (Cook(R) Urology). We show the value of the endourological approach in the conservative management of these patients at high risk of recurrent hematuria.
Department of Urology, Robert Debré University Hospital, Reims, France.
A
A
Herard
J
J
Colin
Y
Y
Youinou
E
E
Drancourt
B
B
Brandt
D000328:Adult; D021721:Balloon Occlusion; D044383:Black People; D002404:Catheterization; D003558:Cystoscopy; D017707:Erythrocyte Transfusion; D006417:Hematuria / Q000209:etiology* / Q000628:therapy; D006579:Heterozygote; D006801:Humans; D007679:Kidney Medulla / Q000098:blood supply / Q000473:pathology*; D008297:Male; D009336:Necrosis; D012805:Sickle Cell Trait / Q000150:complications*; D016896:Treatment Outcome