The Journal of urology · 1998
Obstruction of the renal pelvis due to an insoluble blood clot after epsilon-aminocaproic acid therapy: resolution with intraureteral streptokinase instillations.
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Wymenga L F, van der Boon W J
Аннотация
PURPOSE: We demonstrate the effectiveness of intraureteral streptokinase instillations for the resolution of an insoluble blood clot in the renal pelvis.
MATERIALS AND METHODS: A patient with renal adenocarcinoma had prolonged hematuria related to involvement of the "pyelum" by the tumor. An insoluble blood clot obstruction of the left renal collecting system developed as a consequence of epsilon aminocaproic acid therapy, which was treated with low dose streptokinase through a ureteral catheter.
RESULTS: Complete resolution of the clot and obstruction occurred within 3 days of therapy.
CONCLUSIONS: This relatively simple approach should be used for the treatment of obstruction before radical surgery is performed.
MATERIALS AND METHODS: A patient with renal adenocarcinoma had prolonged hematuria related to involvement of the "pyelum" by the tumor. An insoluble blood clot obstruction of the left renal collecting system developed as a consequence of epsilon aminocaproic acid therapy, which was treated with low dose streptokinase through a ureteral catheter.
RESULTS: Complete resolution of the clot and obstruction occurred within 3 days of therapy.
CONCLUSIONS: This relatively simple approach should be used for the treatment of obstruction before radical surgery is performed.