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Massive upper tract hematuria following decompression of chronic PUJ obstruction: A rare but clinically significant complication

Year: 2025

Type: article

Abstract: Hematuria after urinary decompression is common in chronic lower urinary tract obstruction but rarely originates from the upper tract. We report a 58-year-old woman with long-standing PUJ obstruction who developed massive renal pelvic hemorrhage following DJ stent placement. She presented with gross hematuria, hemoglobin drop, hypertension, and imaging showing a large renal pelvic clot. Conservative management stabilized her, and delayed surgery corrected the obstruction. This case highlights upper tract decompression hematuria as a rare yet potentially life-threatening complication requiring prompt recognition and careful management.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103267

Authors: Vismaya K.B., Haris Chirakkal, Ramkumar Aiyappan

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160

OpenAlex ID: W4416254258

FWCI:

Cites: 3

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