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Case Report
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| Spontaneous subcapsular renal hematoma in a patient being treated with dual antiplatelet therapy: A case report | ||||||
| Chrysovalantis Toutziaris1, Kampantais Spyridon1, Laskaridis Leonidas1, Michail Koptsis1, Filaretos Sardaridis1, Stavros Ioannidis1 | ||||||
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1A' Urologic Department of Aristotle University of Thessaloniki, Gennimatas General Hospital of Thessaloniki, 54635, Greece.
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| How to cite this article: |
| Toutziaris C, Spyridon K, Leonidas L, Koptsis M, Sardaridis F, Ioannidis S. Spontaneous subcapsular renal hematoma in a patient being treated with dual antiplatelet therapy: A case report. International Journal of Case Reports and Images 2012;3(12):43–45. |
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Abstract
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Introduction:
Spontaneous subcapsular renal hematoma is a relatively uncommon entity. After diagnosis, the determination of its cause is critical for the appropriate management.
Case Report: In this report, we describe a case of spontaneous subcapsular renal hematoma in a patient without history of trauma. The patient was under double daily antiplatelet medication because of coronary heart disease. Conclusion: Diagnosis of the condition is suggested by ultrasound scan and confirmed by computed tomography (CT) scan. Literature suggests that the majority of these cases occur in association with renal tumors, and radical nephrectomy is recommended. When an underlying cause cannot be found, conservative treatment is proposed. However, the assessment must be completed with long-term, close surveillance, due to the risk of an undiagnosed neoplastic lesion. In our case, according to the negative imaging, the double antiplatelet therapy may be the only predisposing factor for the hemorrhage. It must be emphasized that discontinuation of medication and close follow-up can save the kidney. | |
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Keywords:
Spontaneous subcapsular renal hematoma, Antiplatelet therapy
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Author Contributions
Chrysovalantis Toutziaris – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kampantais Spyridon – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Laskaridis Leonidas – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Michail Koptsis – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Filaretos Sardaridis – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Stavros Ioannidis – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Chrysovalantis Toutziaris et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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