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Clinical Journal of Gastroenterology

, Volume 7, Issue 2, pp 185–188 | Cite as

Development of a renal subcapsular hematoma during angiography for diagnosis and subsequent treatment of hepatocellular carcinoma

  • Akihiro Hirao
  • Testu Tomonari
  • Hironori Tanaka
  • Kumiko Tanaka
  • Miwako Kagawa
  • Takahiro Tanaka
  • Tatsuya Taniguchi
  • Rie Harada
  • Momoko Sato
  • Naoki MugurumaEmail author
  • Tetsuji Takayama
Case Report
  • 149 Downloads

Abstract

A renal subcapsular hematoma rarely occurs without a history of trauma. It has been reported as a complication of urological interventions and also reported to occur spontaneously in patients with renal malignancies. However, there are no previous reports of renal subcapsular hematomas occurring in connection with abdominal angiography. We report here a case of a renal subcapsular hematoma that developed and was recognized during abdominal angiography for treatment of hepatocellular carcinoma (HCC). An 80-year-old male was referred to our hospital for transarterial embolization for multiple HCCs. His past medical history included hypertension. His laboratory data showed slightly decreased number of platelets and hepaplastin test due to liver cirrhosis. When computed tomography angiography was performed, a 7-cm subcapsular hematoma developed and was recognized over the right kidney during the procedure. He was successfully managed supportively with blood transfusion, tranexamic acid and antibiotics. Since thrombocytopenia and hypertension are reportedly risk factors for hematoma formation, careful manipulation is required during angiography in HCC patients with liver cirrhosis and hypertension. It must be kept in mind that rare complications, such as a renal subcapsular hematoma, can happen during abdominal angiography for diagnostic and interventional treatment of HCC.

Keywords

Renal subcapsular hematoma Angiography Hepatocellular carcinoma 

Notes

Disclosures

Conflict of Interest:

The authors declare that they have no conflict of interest.

Human/animal Rights:

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

Informed Consent:

Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Springer Japan 2014

Authors and Affiliations

  • Akihiro Hirao
    • 1
  • Testu Tomonari
    • 1
  • Hironori Tanaka
    • 1
  • Kumiko Tanaka
    • 1
  • Miwako Kagawa
    • 1
  • Takahiro Tanaka
    • 1
  • Tatsuya Taniguchi
    • 1
  • Rie Harada
    • 1
  • Momoko Sato
    • 1
  • Naoki Muguruma
    • 1
    Email author
  • Tetsuji Takayama
    • 1
  1. 1.Department of Gastroenterology and Oncology, Institute of Health BiosciencesThe University of Tokushima Graduate SchoolTokushimaJapan

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