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 88
- Downloads 0
Mycological Profile Of Pulmonary TB-HIV Co-Infected Patients With A Relationship To CD4 Count Levels In A Tertiary Care Hospital of Southern Odisha, India.
Human immunodeficiency virus (HIV) associated tuberculosis (TB) remains a major global public health challenge, with an estimated 1.4 million patients worldwide. Co-infection with HIV leads to challenges in both the diag...
Post Partum CPM: A Case Report
Hypernatremia is a fatal condition, and can cause encephalopathy, rhabdomyolysis, and osmotic demyelination [1]. Electrolyte imbalance with hypernatremia can take place secondary to hidden post partum complication or can...
Prevalence and determinants of postpartum psychiatric morbidity in mothers of eastern India.
Introduction: Postpartum psychiatric health is important for wellbeing of mother- baby dyad. Postpartum blues are quite common but transient ailment. After one month other psychotic and non-psychotic morbidities becomes...
Association of ABO and Rhesus Blood Group with Type-2 Diabetes Mellitus in Northern India: A Cross-Sectional Study
The phenotypic "ABO" blood groups are inherited antigenic substances which are found on the surface of red blood cells in addition to other tissues. ABO & Rhesus (Rh) blood groups systems besides being most important in...
Reconstruction of through-and- through cheek defect following carcinoma surgery-for mucosal lining and cover both by Free Anterolateral Thigh (ALT) Flap
Free flaps are common option for soft tissue reconstruction and improvements of the surgical technique have progressively concerned the function and appearance of the recipient and donor sites. The anterolateral (ALT) th...