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Case Reports
. 2008 Summer;10(3):236-41.

Shock wave lithotripsy and renal hemorrhage

Jonathan Silberstein, Charles M Lakin, J Kellogg Parsons
Case Reports

Shock wave lithotripsy and renal hemorrhage

Jonathan Silberstein et al. Rev Urol. 2008 Summer.

Abstract

Although shock wave lithotripsy is a safe and efficacious treatment for nephrolithiasis, the most common acute complication is renal hemorrhage. Shock wave-induced renal hemorrhage is a potentially devastating injury if not promptly recognized and treated appropriately. The authors report a large perirenal hematoma occurring after shock wave lithotripsy and review the causes, prevention, and treatment of shock wave-induced renal hemorrhage.

Keywords: Hematoma; Nephrolithiasis; Shock wave lithotripsy.

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Figures

Figure 1
Figure 1
Preoperative x-ray: left nephrolithiasis.
Figure 2
Figure 2
Noncontrast computed tomography: large left perinephric hematoma.
Figure 3
Figure 3
Computed tomography scan with contrast: circle around contrast extravasation indicating active vascular injury.
Figure 4
Figure 4
Renal angiogram with no evidence of active extravasation.
See this image and copyright information in PMC

References

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