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Case Reports in Urology
Volume 2016, Article ID 2573476, 4 pages
http://dx.doi.org/10.1155/2016/2573476
Case Report

Spontaneous Subcapsular Renal Hematoma: Strange Case in an Anticoagulated Patient with HWMH after Aortic and Iliac Endovascular Stenting Procedure

1Cardiovascular and Thoracic Department, Unit of Vascular Surgery, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, Italy
2Department of Human Pathology, Unit of Urology, Policlinico G. Martino Hospital, University of Messina, 98124 Messina, Italy
3Unit of Vascular Surgery, Campus BioMedico University, 00128 Rome, Italy
4Pierre & Marie Curie University, Tenon University Hospital, 75020 Paris, France

Received 31 January 2016; Accepted 13 July 2016

Academic Editor: Elijah O. Kehinde

Copyright © 2016 Michele Greco et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous subcapsular renal hematoma is a rare condition in clinical practice. It is caused by renal cysts, benign and malignant renal tumors, vascular lesions, and antiplatelet or anticoagulant therapy. In this paper we report an unusual case of rupture of a renal cyst of a 66-year-old male patient during an aortic and iliac endovascular procedure for a massive calcified atheroma above the iliac bifurcation. We suspected that the bolus of high weight molecular heparin given during the procedure caused the rupture of the cyst. According to the literature, this is the first case of renal cyst rupture during an endovascular aortic procedure after administering a high weight molecular heparin bolus.