A Rare Case of Hydronephrosis Secondary to an Intra-abdominal Haematoma in a Patient with Marfans SyndromeLuke Stroman*, Harikesh Kaneshayogan and Evangelos Mazaris
Department of Urology, St. Mary’s Hospital, Paddington, London
- *Corresponding Author:
- Luke Stroman
Senior House Officer, Department of Urology
St. Mary’s Hospital, Paddington, London, UK
Tel: 44 20 3312 666
E-mail: [email protected]
Received date : January 20, 2014; Accepted date : February 21, 2014; Published date : February 24, 2014
Citation: Stroman L, Kaneshayogan H, Mazaris E (2014) A Rare Case of Hydronephrosis Secondary to an Intra-abdominal Haematoma in a Patient with Marfan’s Syndrome. Med Surg Urol 3: 128. doi:10.4172/2168-9857.1000128
Copyright: © 2014 Stroman L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A patient with Marfan’s Syndrome and type B aortic dissection presented to an academic teaching hospital with sudden onset left loin to groin pain and haemodynamic instability. Her INR was raised at 9.3 and haemoglobin had dropped from 126 to 106 g/L. CT abdomen revealed unilateral left hydronephrosis secondary to ureteric compression by an 11.8×7.0×8.6 cm retroperitoneal haematoma originating from the left iliacus. The haematoma was managed conservatively with transfusion of fresh frozen plasma and strict bed rest. A left retrograde uretric JJ stent was placed without complication and she was discharged from hospital eight days after presentation.