Abstract

ESCRIBANO-CASTILLO, Rubén; GONZALEZ-BENEYTO, Verónica  and  LOPEZ-BAS-VALERO, Rafael. Use of epinephrine in the treatment of persistent hematuria. Hosp. domic. [online]. 2022, vol.6, n.2, pp.79-83.  Epub July 11, 2022. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v6i2.157.

Persistent hematuria is a common sign in palliative care whose treatment is still a challenge. In this case, hematuria occurred in a 78-year-old anticoagulated patient in the context of an iliopubic fracture complicated by deep vein thrombosis and pulmonary thromboembolism. For treatment, the first option was continuous bladder irrigation with saline solution. Given the persistence of hematuria and the worsening anemia, it was decided to add an ampoule of epinephrine to the bladder irrigation with saline solution. The patient presented good hemodynamic tolerance to adrenaline treatment and showed significant clinical improvement. This allowed withdrawal of epinephrine and addition of tranexamic acid to the serum (which was not done before because of the risk of catheter obstruction due to clots). After two days with clear urine, the continuous bladder irrigation were withdrawn.

Keywords : Hematuria; Therapeutics; Epinephrine.

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