title: Subcapsular hematoma after ureteroscopy and laser lithotripsy.
abstract: Subcapsular hematoma is an uncommon complication after ureteroscopy and laser lithotripsy. We report on a 38-year-old male with an 8 mm lower pole stone who underwent a left ureteroscopy and laser lithotripsy. The stone was successfully fragmented. Several hours after being discharged home, the patient returned complaining of back pain and hematuria. He was hemodynamically stable. Laboratory exams were normal. A CT study showed a crescent renal subcapsular hematoma surrounding the left kidney. The patient was admitted to the ward for conservative treatment. No additional intervention was necessary. Most subcapsular hematomas tend to resolve spontaneously.
authors.affiliation: Division of Urology, Department of Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado, USA.
authors.forename: Matheus Miranda
authors.initials: MM
authors.lastname: Paiva
authors.forename: Rodrigo Donalisio
authors.initials: RD
authors.lastname: da Silva
authors.forename: Paulo
authors.initials: P
authors.lastname: Jaworski
authors.forename: Fernando J
authors.initials: FJ
authors.lastname: Kim
authors.forename: Wilson R
authors.initials: WR
authors.lastname: Molina
mesh_terms: D000328:Adult; D004322:Drainage / Q000379:methods; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D017602:Lithotripsy, Laser / Q000009:adverse effects* / Q000379:methods; D008297:Male; D010147:Pain Measurement / Q000379:methods; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D053039:Ureterolithiasis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D018666:Ureteroscopy / Q000009:adverse effects* / Q000379:methods