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[Subcapsular hematoma after ESWL].

S Kilani1, M Monsalve, L Parra

  • 1Servicio de Urología, Hospital Camino de Santiago, Ponferrada, León.

Actas Urologicas Espanolas
|November 1, 1992
PubMed
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Extracorporeal shock wave lithotripsy (ESWL) can cause subcapsular hematomas in patients with high blood pressure (HBP). Management may involve surgical drainage or conservative approaches, as illustrated by two patient cases and literature review.

Area of Science:

  • Urology
  • Nephrology
  • Surgical interventions

Background:

  • Subcapsular hematomas are a potential complication following Extracorporeal Shock Wave Lithotripsy (ESWL).
  • Patients with High Blood Pressure (HBP) may be at increased risk.
  • Understanding management strategies for post-ESWL complications is crucial.

Observation:

  • Two cases of subcapsular hematoma post-ESWL in HBP patients are presented.
  • Case 1: Surgical drainage was performed.
  • Case 2: A conservative management approach was adopted.

Findings:

  • The study highlights the occurrence of subcapsular hematomas after ESWL in patients with HBP.
  • It demonstrates varied clinical management strategies, including surgical intervention and conservative care.

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  • Literature review provides context for these management decisions.

    • Implications:

    • This case series contributes to understanding the spectrum of post-ESWL subcapsular hematoma management in HBP patients.
    • It suggests that both surgical and conservative treatments can be viable options depending on clinical presentation.
    • Further research may elucidate optimal management protocols for this specific complication.