Subcapsular hepatic hematoma with right hepatic vein thrombosis: a complication of shock wave lithotripsy
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Updated: Jul 4, 2026

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Jennifer Gordetsky1, Sean Hislop, Mark Orloff
1Departments of Urology and Transplant Surgery, University of Rochester School of Medicine, Rochester, NY.
Abstract:
Extracorporeal shock wave lithotripsy (ESWL) is a well-established, safe and effective therapeutic modality for surgical treatment of urolithiasis. Hematoma is a rare complication of ESWL and, when it occurs, typically involves the kidney. We report the case of a 71-year-old woman who developed severe, persistent abdominal pain after ESWL for a 9-mm stone at the ureteropelvic junction. Post-treatment CT scan demonstrated a 13 x 6-cm subcapsular hepatic hematoma. A follow-up CT scan showed expansion of the hematoma and development of hepatic vein thrombosis. This finding, along with persistent abdominal pain and rising liver transaminases, led to surgical intervention. The patient's symptoms resolved and liver function returned to baseline following liver decompression.
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