Post Ureteroscopy peri renal hematoma leading to diagnosis of hemophilia and angiodyslasia colon- A rare clinical cluster.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Ureterorenoscopy is a common procedure, but there have been complications reported with it. Twenty eight year old male, previously diagnosed case of chronic kidney disease(CKD) with hypertension underwent ureterorenoscopy for upper ureteric calculus. He presented with a tender immobile lump in right flank on post operative day two which was a 14 cm organized hematoma on computerized tomography(CT). On post operative day four, he developed massive bleed per rectally. CT angiography was suggestive of angiodysplasia of ascending colon and underwent emergency right hemicolectomy for the same. On hematological workup, the patient was found to have Factor VIIIc deficiency (mild hemophilia). Our patient was hypertensive and known case of CKD which made him susceptible to perirenal hematoma. It is known to occur in patients of bleeding disorders like Chronic Idiopathic Thrombocytopenic Purpura. However, post operative hematoma occurring in a case of mild hemophilia has never been mentioned in literature. Angiodysplasia of colon has been associated with Von will brands disease, almost exclusively with a few subtypes. However its association with hemophilia has not been reported till date. Thus surgeons should be vigilant about hemorrhagic complications in hypertensive patients affected with CKD. Also hematological disorders should be kept in mind when dealing with hemorrhagic complications.
Authors and Affiliations
Dr. Varun V Agarwal
Keywords
Related Articles
- EP ID EP525923
- DOI -
- Views 123
- Downloads 0
Surgical disimpaction of mandibular third molars: A comparative study on clinical effects of three different osteotomy techniques
Aim The aim of this study is to find out the ideal osteotomy technique while removing impacted mandibular third molar with minimal post-operative discomfort to the patients using three different osteotomy techniques. Ma...
Efficacy And Safety For A Combination Of Paracetamol, Chlorpheniramine Maleate And Phenylephrine In The Symptomatic Treatment Of Common Cold And Allergic Rhinitis In Infants: Phase Iv Clinical Study.
Common cold and allergic rhinitis are most common diseases in Indian clinical practises. Both are self-limiting but it accounts for loss of school and work days. Symptomatic therapy is often used to treat the symptoms. C...
Comparision of the Functional Outcome of Elderly Patients with Displaced Intracapsular Fracture Neck of Femur Managed With Cemented Hemiarthroplasty and Cemented Total Hip Replacement.
This study was performed to compare functional outcome of Bipolar Hemiarthroplasty (BA) and Total Hip Arthroplasty (THR) used in treatment of displaced intracaspular neck of femur fracture in elderly patients. Method a...
Results of the Investigation of Anxiety Level among Medical University Foreign Students
Objectives: The article deals with the study and characteristics of anxiety level of the first-year students, who during their studies at higher medical educational institution experience lasting mental and psycho-emotio...
The Relationship of Low Density Lipoprotein (LDL) Cholesterol Level with Haemorrhagic Transformation of Acute Cerebral Infarct
Background: Acute ischemic stroke (AIS) is characterized by the sudden loss of blood circulation to an area of the brain, typically in a vascular territory, resulting in a corresponding loss of neurologic function. Altho...