A spontaneous renal subcapsular hematoma case due to uncontrolled hypertension  and anticoagulant therapy : Kontrolsüz hipertansiyon ve antikoagülan tedaviye bağlı  oluşan spontan renal subkapsüler hematom olgusu

Berat Cem  Özgür; Asım Özayar; Musa Ekici; Ömer Bayrak

doi:10.5455/GMJ-30-2012-79

Authors

Berat Cem Özgür Ankara Etlik İhtisas Eğitim ve Araştırma Hastanesi, Etlik, Ankara
Asım Özayar Ankara Etlik İhtisas Eğitim ve Araştırma Hastanesi, Etlik, Ankara
Musa Ekici Ankara Etlik İhtisas Eğitim ve Araştırma Hastanesi, Etlik, Ankara
Ömer Bayrak Ankara Etlik İhtisas Eğitim ve Araştırma Hastanesi, Etlik, Ankara

DOI:

https://doi.org/10.5455/GMJ-30-2012-79

Keywords:

Anticoagulant, renal, hematoma, subcapsular

Abstract

Spontaneous subcapsular hematoma is a rare pathology which presents in capsular organs in the body. Kidney is also an anatomic structure where a subcapsular bleeding can be identified, although there might be no clinical sign, a life treating appearance might exist with the patient. In diagnosis, usually no argument occurs, while there is not a consensus in the treatment. Decision of the treatment has variations due to the etiology and patient's clinical situation. Different treatment modalities as conservative approach, capsulotomy, percutaneus drainage and radical nephrectomy might be the options. A 84 year-old female patient who has a history of anticoagulant intake admitted to the emergency department with a hypertensive episode and with imaging methods, renal subcapsular hematoma was diagnosed, conservative approach was commented in the light of the current literature.

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