Case report: scrotal ecchymosis after shockwave lithotripsy

Area of Science:

• Urology
• Nephrology
• Radiology

Background:

• Shockwave lithotripsy (SWL) is a primary treatment for renal calculi due to its efficacy and minimally invasive nature.
• Perirenal hematoma is a known, though infrequent, complication of SWL, typically identified via imaging.

Observation:

• This report details an unusual case following SWL for a left renal stone.
• The patient presented with scrotal ecchymosis, an atypical manifestation.

Findings:

• The scrotal ecchymosis was found to be a consequence of an ipsilateral perirenal hematoma.
• This hematoma led to spermatic vein thrombosis, a complication not previously documented in conjunction with SWL.

Implications:

• Highlights the importance of considering rare presentations of perirenal hematoma post-SWL.
• Suggests a need for broader diagnostic awareness for scrotal complications after SWL procedures.
• Underscores the potential for unexpected vascular complications following SWL.