Subcapsular hepatic hematoma as a life-threatening complication following radical nephrectomy with preoperative embolization for renal leiomyosarcoma:a case report
10.3760/cma.j.cn112330-20241031-00488
- VernacularTitle:肾平滑肌肉瘤根治术后并发肝包膜下血肿1例报告
- Author:
Weikun SHI
1
;
Lin MA
1
;
Yi XIE
1
;
Zhigang JI
1
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院泌尿外科，北京 100730
- Publication Type:Journal Article
- Keywords:
Renal leiomyosarcoma;
Subcapsular hepatic hematoma;
Lower extremity deep vein thrombosis;
Anticoagulation therapy
- From:
Chinese Journal of Urology
2025;46(6):464-466
- CountryChina
- Language:Chinese
-
Abstract:
Renal leiomyosarcoma is an extraordinarily rare malignant neoplasm，accounting for less than 1% of all renal malignancies. The prevention and management of postoperative thrombotic and hemorrhagic complications are pivotal in improving patient outcomes. We presented a case of a 62-year-old female with a giant right renal leiomyosarcoma（FNCLCC grade 3）who underwent preoperative arterial embolization followed by radical nephrectomy. On postoperative day 4，the patient developed deep vein thrombosis of the lower extremities. During subsequent anticoagulation therapy，she experienced a life-threatening complication of subcapsular hepatic hematoma. Discontinuing anticoagulation，bed rest，active blood transfusion，and antibiotic prophylaxis for infection being used as conservative treatment，the patient demonstrated significant clinical improvement and discharged after full recovery.
