Abstract

NAVIA INTRIAGO, Otilia L. et al. Subcapsular renal hematoma secondary to coronary angiography. CorSalud [online]. 2019, vol.11, n.2, pp. 175-178. ISSN 2078-7170.

A 72-year-old woman, with a history of stable effort angina, who was performed, after presenting a non-ST segment elevation acute coronary syndrome, a conventional coronary angiography (invasive) that evidenced the multivessel coronary artery disease with significant stenosis of the left main coronary artery, therefore, a surgical treatment was decided. At 70 minutes she presented pain in the left side and ipsilateral lumbar region, nausea and vomiting. The initial physical examination evidenced a palpable, painful mass in the left side. The tomography showed the presence of a left subcapsular renal hematoma. To the acute abdomen pattern was added a hypovolemic shock, thus, the patient underwent surgery, confirming the tomographic diagnosis and performing a nephrectomy. This particular case presented predisposing factors for spontaneous and traumatic cause; however, based on the findings in the anatomopathological study, the conclusion was a renal subcapsular hematoma of traumatic origin.

Keywords : Acute abdomen; Coronary angiography; Hematoma; Kidney; Nephrectomy.

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