PMC4996627_01
CT scan showing subcapsular hematoma with compression of the kidney.
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Control CT scan showed a 4.1 cm subcapsular hematoma without active bleeding; considerable displacement of the kidney resulting in partial obstruction of the upper urinary tract and two nonobstructing stones fragments in the distal ureter (about 2-3 mm in diameter) were also seen (Fig. 1).
Retrograde pyelography with extravasation of contrast toward hematoma.
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Retrograde pyelogram showed contrast media extravasation in the upper pole calix with opacification of the hematoma, which impressed to be associated with urinary fluid collection; stone fragments in the distal ureter were no longer present (Fig. 2).
Infected hematoma with edema of peinephric fat tissue.
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At postoperative day 20, an image control was done, showing hematoma without any differences concerning previous CT scans (Fig. 3).
Complete resolution of the hematoma after open drainage.
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In outpatient control, a CT scan revealed total resolution of the hematoma (Fig. 4).