Neurointervention.  2016 Sep;11(2):127-130. 10.5469/neuroint.2016.11.2.127.

Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

• La YK
• Kim JH
• Lee KY

• KMID: 2350691
• DOI: http://doi.org/10.5469/neuroint.2016.11.2.127

Abstract

A 74-year-old female with acute cerebral infarction was treated with intravenous recombinant tissue plasminogen activator. Subsequent percutaneous transfemoral angiography and mechanical thrombectomy were performed due to a right middle cerebral artery occlusion, which was successfully recanalized. Two days after treatment, the patient complained of vague right abdominal pain and a laboratory test showed anemia. Abdominal computed tomography showed a right renal subcapsular hematoma. After conservative management, the patient was discharged without complications. We report a rare complication after intravenous thrombolysis in a patient with acute cerebral infarction.

Keyword

Renal subcapsular hematoma; Intravenous thrombolysis; Percutaneous transfemoral angiography

MeSH Terms

Abdominal Pain
Aged
Anemia
Angiography
Cerebral Infarction*
Female
Hematoma*
Humans
Infarction, Middle Cerebral Artery
Thrombectomy
Tissue Plasminogen Activator
Tissue Plasminogen Activator

Figure

• 

  Fig. 1 Cerebral angiography shows occlusion of the right middle cerebral artery (A) and successful recanalization after mechanical thrombectomy with a Solitaire retriever (arrows) (B). Brain MRI demonstrates acute infarction of the right basal ganglia and right middle cerebral artery territory (C).

• 

  Fig. 2 Axial (A) and coronal (B) contrast-enhanced abdominal computed tomography (CT) reveal right renal subcapsular hematoma (arrows).

• 

  Fig. 3 Axial (A) and coronal (B) non-contrast abdominal CT performed 4 weeks after initial CT show decreased volume of the subcapsular hematoma of the right kidney (arrows).

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