{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:40:32Z","timestamp":1784547632023,"version":"3.55.0"},"reference-count":4,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T00:00:00Z","timestamp":1567123200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology Case Reports"],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Background:<\/jats:title>\n                    <jats:p>Urinary diversion with the endoscopic Double-J stent is a frequent procedure; complications can include irritation, suprapubic or flank pain, vesicoureteral reflux, hematuria, or urinary infection. We report a case of hepatic subcapsular hematoma secondary to Double-J stent placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 28-year-old woman presented with a history of Sj\u00f6gren's disease, nephrocalcinosis, and chronic kidney disease (CKD). The patient underwent multiple percutaneous and endoscopic procedures during the previous 2 years: right kidney: extracorporeal shock wave lithotripsy (SWL)\u2009\u00d7\u20094, ureteroscopic lithotripsy\u2009\u00d7\u20092, percutaneous nephrolithotomy (PCNL), and retrograde intrarenal surgery; left kidney: SWL\u2009\u00d7\u20092, ureteroscopic lithotripsy\u2009\u00d7\u20095, and PCNL. Ultrasound imaging showed severe dilation in the right kidney and moderate dilation in the left kidney. CT scanning without contrast revealed a right pyelourethral dilation caused by a 13\u2009mm ureteral lithiasis; also, cortical atrophy was observed. Urosepsis with exacerbated CKD was diagnosed and bilateral 7F Double-J stents were placed on both sides under general anesthesia. On postoperative day (POD) 8, the patient presented with pain in the right hemithorax and dullness to percussion. CT scans showed a heterogeneous hepatic subcapsular collection, of 15\u2009\u00d7\u20097\u2009\u00d7\u200923\u2009cm, of hematic aspect, displacing vascular structures, and no active bleeding. Treatment was expectant and symptomatic. On POD 16, a new CT scan ruled out progression of the hematoma. The patient was finally discharged on POD 19. Four months later, bilateral semirigid ureteroscopy showed a right ureteral lithiasis of 8\u2009\u00d7\u20097\u2009mm, which was fragmented with a holmium laser. Nineteen months after the first episode, the patient is asymptomatic, with no residual lithiasis or hepatic hematoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case shows a very rare complication of Double-J stent placement that could be managed by conservative treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cren.2019.0017","type":"journal-article","created":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T10:09:50Z","timestamp":1554372590000},"page":"85-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Large Hepatic Subcapsular Hematoma Secondary to Double-J Stent Placement"],"prefix":"10.1177","volume":"5","author":[{"given":"Leandro","family":"Blas","sequence":"first","affiliation":[{"name":"Hospital Alem\u00e1n de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Roberti","sequence":"additional","affiliation":[{"name":"FINAER, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximiliano Daniel","family":"Ringa","sequence":"additional","affiliation":[{"name":"Hospital Alem\u00e1n de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Contreras","sequence":"additional","affiliation":[{"name":"Hospital Alem\u00e1n de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Alberto","family":"Ameri","sequence":"additional","affiliation":[{"name":"Hospital Alem\u00e1n de Buenos Aires, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/089277903765444294"},{"key":"e_1_3_2_3_2","first-page":"250","volume-title":"A systematic review.Int J Urol","author":"Betschart P","year":"2017","unstructured":"Betschart P, , Zumstein V, , Piller A, , Schmid HP, , Abt D. Prevention and treatment of symptoms associated with indwelling ureteral stents: A systematic review. Int J Urol, 24:250\u2013259, 2017."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2013.0128"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1055\/s-0030-1248722","article-title":"Disorders of hemostasis associated with chronic kidney disease.","volume":"36","author":"Jalal DI","year":"2010","unstructured":"Jalal DI, , Chonchol M, , Targher G. Disorders of hemostasis associated with chronic kidney disease. Semin Thromb Hemost, 36:34\u201340, 2010.","journal-title":"Semin Thromb Hemost"}],"container-title":["Journal of Endourology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/cren.2019.0017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2019.0017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2019.0017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:24:28Z","timestamp":1773249868000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/cren.2019.0017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,30]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,9,1]]}},"alternative-id":["10.1089\/cren.2019.0017"],"URL":"https:\/\/doi.org\/10.1089\/cren.2019.0017","relation":{},"ISSN":["2379-9889","2379-9889"],"issn-type":[{"value":"2379-9889","type":"print"},{"value":"2379-9889","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,30]]}}}