Life-Threatening Complication after Right Renal Extracorporeal Shock Wave Lithotripsy: Large Hepatic Haematoma Requiring Embolisation of the Right Hepatic Artery: Part 2

2007 ◽  
Vol 52 (4) ◽  
pp. 1252-1253
Author(s):  
Josef Beatrice ◽  
Raeto T. Strebel ◽  
Thomas Pfammatter ◽  
Jaime H. Röhweder ◽  
Tullio Sulser
Keyword(s):  
Shock Wave ◽  
Hepatic Artery ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Right Hepatic Artery ◽  
Extracorporeal Shock Wave ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
The Right ◽  
Hepatic Haematoma

scholarly journals Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Luís Magalhães ◽  
Ramon Nogué
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Point Of Care ◽  
Bedside Ultrasound ◽  
Lumbar Pain ◽  
Point Of Care Ultrasound ◽  
Case Presentation ◽  
Extracorporeal Shock Wave ◽  
The Right

Abstract Background Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases. Case presentation A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Bedside ultrasound showed a hyperechoic subcapsular lesion along the right kidney. This finding, along with the clinical examination, suggested the diagnosis of subcapsular renal hematoma. The patient was managed conservatively with clinical and ultrasound reassessments. Conclusions This case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis.

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