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Clinical implications of acute pelvicaliceal hematoma formation during percutaneous catheter nephrostomy insertion.

PURPOSE: To determine the clinical implications of acute pelvicaliceal hematoma formation during percutaneous catheter nephrostomy (PCN) insertion.

METHODS: Collecting system hematoma burden was retrospectively assessed for 694 PCN insertions in 502 patients.

RESULTS: Pelvicaliceal hematoma formation occurred in 146 kidneys (21%) in 136 patients. Clinically significant blood loss occurred in 3 patients with hematomas within one week compared to 4 patients without hematomas (p=0.39). Twenty-four patients with hematomas underwent catheter exchange within one week, compared to 55 patients without hematomas (p=0.49).

CONCLUSION: Pelvicaliceal hematoma formation after PCN insertion is not uncommon and is associated with very rare clinical sequelae.

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