{"id":"https://openalex.org/W7218451799","doi":"https://doi.org/10.7759/cureus.117390","title":"Severe Renal Hemorrhage Following Nephrostomy Tube Removal: A Case Report","display_name":"Severe Renal Hemorrhage Following Nephrostomy Tube Removal: A Case Report","publication_year":2026,"publication_date":"2026-10-03","ids":{"openalex":"https://openalex.org/W7218451799","doi":"https://doi.org/10.7759/cureus.117390","pmid":"https://pubmed.ncbi.nlm.nih.gov/42974215","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13726793"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117390","doi":"https://doi.org/10.7759/cureus.117390","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117390","pdf_url":"https://www.cureus.com/articles/536202-severe-renal-hemorrhage-following-nephrostomy-tube-removal-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/536202-severe-renal-hemorrhage-following-nephrostomy-tube-removal-a-case-report.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5156476741","display_name":"Yoshihiko Ogata","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154031","display_name":"Nippon Medical School Hospital","ror":"https://ror.org/04y6ges66","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210154031"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshihiko Ogata","raw_affiliation_strings":["Urology, Nippon Medical School Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Nippon Medical School Hospital, Tokyo, JPN","institution_ids":["https://openalex.org/I4210154031"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008959475","display_name":"Masato Yanagi","orcid":"https://orcid.org/0000-0003-3092-1014","observed_orcids":["https://orcid.org/0000-0003-3092-1014"]},"institutions":[{"id":"https://openalex.org/I4210154031","display_name":"Nippon Medical School Hospital","ror":"https://ror.org/04y6ges66","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210154031"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Masato Yanagi","raw_affiliation_strings":["Urology, Heisei Tateishi Hospital, Tokyo, JPN","Urology, Nippon Medical School Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Heisei Tateishi Hospital, Tokyo, JPN","institution_ids":[]},{"raw_affiliation_string":"Urology, Nippon Medical School Hospital, Tokyo, JPN","institution_ids":["https://openalex.org/I4210154031"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5156338973","display_name":"Yoshihiro Nishikawa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yoshihiro Nishikawa","raw_affiliation_strings":["Urology, Heisei Tateishi Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Heisei Tateishi Hospital, Tokyo, JPN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011511883","display_name":"Kuniaki Tanabe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kuniaki Tanabe","raw_affiliation_strings":["Urology, Heisei Tateishi Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Heisei Tateishi Hospital, Tokyo, JPN","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080066714","display_name":"Shuichi Osawa","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shuichi Osawa","raw_affiliation_strings":["Urology, Heisei Tateishi Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Heisei Tateishi Hospital, Tokyo, JPN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5156429473","display_name":"Jun Akatsuka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154031","display_name":"Nippon Medical School Hospital","ror":"https://ror.org/04y6ges66","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210154031"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Jun Akatsuka","raw_affiliation_strings":["Urology, Nippon Medical School Hospital, Tokyo, JPN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology, Nippon Medical School Hospital, Tokyo, JPN","institution_ids":["https://openalex.org/I4210154031"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5008959475"],"corresponding_institution_ids":["https://openalex.org/I4210154031"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.76448748,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"10","first_page":"e117390","last_page":"e117390"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.6309000253677368,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.6309000253677368,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.12540000677108765,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12067","display_name":"Renal and Vascular Pathologies","score":0.05380000174045563,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nephrostomy-tube-removal","display_name":"nephrostomy tube removal","score":0.843999981880188},{"id":"https://openalex.org/keywords/renal-hemorrhage","display_name":"renal hemorrhage","score":0.671999990940094},{"id":"https://openalex.org/keywords/hydronephrosis","display_name":"hydronephrosis","score":0.8090000152587891},{"id":"https://openalex.org/keywords/muscle-invasive-bladder-cancer","display_name":"muscle-invasive bladder cancer","score":0.9259999990463257},{"id":"https://openalex.org/keywords/ileal-conduit","display_name":"ileal conduit","score":0.7590000033378601},{"id":"https://openalex.org/keywords/radical-cystectomy","display_name":"radical cystectomy","score":0.6729999780654907},{"id":"https://openalex.org/keywords/hemostasis","display_name":"hemostasis","score":0.5239999890327454},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.453000009059906}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9927999973297119},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6128000020980835},{"id":"https://openalex.org/C2777551473","wikidata":"https://www.wikidata.org/wiki/Q2093072","display_name":"Tube (container)","level":2,"score":0.4147000014781952},{"id":"https://openalex.org/C2780374147","wikidata":"https://www.wikidata.org/wiki/Q1598820","display_name":"Nephrostomy","level":3,"score":0.4081999957561493},{"id":"https://openalex.org/C2780091579","wikidata":"https://www.wikidata.org/wiki/Q9377","display_name":"Kidney","level":2,"score":0.3880000114440918},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3197000026702881},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.3172999918460846},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.29789999127388},{"id":"https://openalex.org/C2780913535","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"Gunshot wound","level":2,"score":0.289900004863739},{"id":"https://openalex.org/C2779977878","wikidata":"https://www.wikidata.org/wiki/Q3973121","display_name":"Ureteric stent","level":3,"score":0.2676999866962433}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117390","doi":"https://doi.org/10.7759/cureus.117390","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117390","pdf_url":"https://www.cureus.com/articles/536202-severe-renal-hemorrhage-following-nephrostomy-tube-removal-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13726793","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13726793/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13726793/pdf/cureus-0018-00000117390.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42974215","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42974215","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117390","doi":"https://doi.org/10.7759/cureus.117390","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117390","pdf_url":"https://www.cureus.com/articles/536202-severe-renal-hemorrhage-following-nephrostomy-tube-removal-a-case-report.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7218451799.pdf","grobid_xml":"https://content.openalex.org/works/W7218451799.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W1973783944","https://openalex.org/W2103974561","https://openalex.org/W2286933116","https://openalex.org/W3201788240","https://openalex.org/W4408345471"],"related_works":["https://openalex.org/W2121956889","https://openalex.org/W2003459821","https://openalex.org/W4406780965","https://openalex.org/W2278014166","https://openalex.org/W4362712153","https://openalex.org/W2052422839","https://openalex.org/W2403612425","https://openalex.org/W2989906373","https://openalex.org/W7097432832","https://openalex.org/W94899100"],"abstract_inverted_index":{"Percutaneous":[0],"nephrostomy":[1,26,53,75,90,116,207],"(PCN)":[2],"is":[3],"widely":[4],"performed":[5],"to":[6,109,132],"drain":[7],"upper":[8],"urinary":[9,72],"tract":[10,91],"obstructions.":[11],"Although":[12,97,210],"hemorrhagic":[13],"complications":[14],"during":[15],"PCN":[16,45],"placement":[17],"are":[18],"well":[19],"recognized,":[20],"clinically":[21,200],"significant":[22,201,247],"bleeding":[23,86,173,248],"immediately":[24,205],"following":[25],"tube":[27,76,208,238],"removal":[28],"has":[29],"been":[30],"rarely":[31],"reported.":[32],"A":[33],"76-year-old":[34],"man":[35],"with":[36,241],"muscle-invasive":[37],"bladder":[38],"cancer":[39],"and":[40,69,92,120,174,244],"bilateral":[41],"hydronephrosis":[42],"underwent":[43,62],"right-sided":[44],"for":[46,176],"obstructive":[47],"pyelonephritis":[48],"using":[49],"an":[50],"8.3-Fr":[51],"JINRO\u2122":[52],"catheter":[54,123],"(Boston":[55],"Scientific,":[56],"Marlborough,":[57],"MA,":[58],"USA).":[59],"He":[60],"subsequently":[61],"radical":[63],"cystectomy,":[64],"pelvic":[65],"lymph":[66],"node":[67],"dissection,":[68],"ileal":[70,95,130,166],"conduit":[71,131,135],"diversion.":[73],"The":[74],"was":[77,118,125,162,190],"removed":[78],"on":[79],"postoperative":[80],"day":[81],"5.":[82],"Immediately":[83],"thereafter,":[84],"substantial":[85],"occurred":[87],"from":[88,107,164,225],"the":[89,94,98,115,129,134,149,165,169,172,214,232],"through":[93],"conduit.":[96,167],"patient":[99],"remained":[100],"hemodynamically":[101],"stable,":[102],"his":[103],"hemoglobin":[104],"level":[105],"decreased":[106],"10.4":[108],"9.4":[110],"g/dL.":[111],"External":[112],"compression":[113],"of":[114,156,171,182,218,234],"site":[117],"applied,":[119],"a":[121,146,226],"Foley":[122],"balloon":[124],"temporarily":[126],"inflated":[127],"within":[128,148],"occlude":[133],"outlet.":[136],"Contrast-enhanced":[137],"computed":[138],"tomography":[139],"revealed":[140],"no":[141,211],"active":[142],"extravasation":[143],"but":[144],"demonstrated":[145],"hematoma":[147],"right":[150],"renal":[151],"pelvis.":[152],"Approximately":[153],"300":[154],"g":[155],"bloody":[157],"output":[158],"containing":[159],"blood":[160,178,185],"clots":[161],"observed":[163],"Given":[168],"severity":[170],"concern":[175],"continued":[177],"loss,":[179],"four":[180],"units":[181],"packed":[183],"red":[184],"cells":[186],"were":[187],"transfused.":[188],"Hemostasis":[189],"achieved":[191],"without":[192],"transcatheter":[193],"arterial":[194],"embolization.":[195],"This":[196],"case":[197],"highlights":[198],"that":[199],"hemorrhage":[202],"may":[203],"occur":[204],"after":[206,237],"removal.":[209],"conclusions":[212],"regarding":[213],"efficacy":[215],"or":[216],"safety":[217],"specific":[219],"tube-removal":[220],"techniques":[221],"can":[222],"be":[223],"drawn":[224],"single":[227],"case,":[228],"this":[229],"experience":[230],"underscores":[231],"importance":[233],"careful":[235],"observation":[236],"removal,":[239],"along":[240],"prompt":[242],"evaluation":[243],"management":[245],"if":[246],"occurs.":[249]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-04T00:00:00"}