Renal Subcapsular Hematoma after Intravenous Thrombolysis in a Patient with Acute Cerebral Infarction

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Renal subcapsular hematoma is a rare form of intraabdominal bleeding.Subcapsular hematomas can be spontaneous or iatrogenic, and iatrogenic causes include renal biopsy, anticoagulation, extracorporeal shock wave lithotripsy, hemodialysis and renal transplantation [1].Intravenous recombinant tissue plasminogen activator (rTPA) is used in acute cerebral infarction to recanalize an occluded vessel.However, intravenous rTPA can cause bleeding complications, such as intracerebral hemorrhage, gum bleeding, gastrointestinal bleeding, and oozing from intravenous catheter sites.We present a rare case of renal subcapsular hematoma after intravenous rTPA and subsequent percutaneous transfemoral angiography. CASE PRESENTATIONA 74-year-old female patient was admitted to our hospital with acute left-sided weakness.She had a history of hypertension and myocardial infarction with coronary artery stent insertion.She had been taking 100 mg aspirin per day since coronary artery stenting.Her initial vital signs yielded a blood pressure of 107/60 and heart rate of 81 beats per minute.Initial neurologic examination showed eyeball deviation to the right side, left-sided hemiplegia and visual extinction, and the National Institutes of Health Stroke Scale (NIHSS) score was 13.Brain computed tomography (CT) angiography showed occlusion of the right middle cerebral artery (MCA).Intravenous rTPA

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