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Large perirenal hematoma after extracorporeal shock-wave lithotripsy
1Division of Urology, University of New Mexico, School of Medicine, Albuquerque.
Urology
|February 1, 1990
Summary
A large kidney hematoma after extracorporeal shock-wave lithotripsy (ESWL) can impair renal function, requiring surgery. Patients on aspirin, the elderly, or those with hypertension need careful monitoring post-ESWL.
Area of Science:
- Nephrology
- Urology
- Surgical Complications
Background:
- Extracorporeal shock-wave lithotripsy (ESWL) is a common procedure for kidney stone removal.
- Potential complications, though rare, require careful consideration.
Observation:
- A case of a large perirenal hematoma developed after ESWL.
- This hematoma significantly compromised renal blood flow and kidney function.
Findings:
- The severe perirenal hematoma necessitated open surgical drainage.
- Risk factors for this complication include aspirin use, advanced age, hypertension, and significant hematocrit drop post-ESWL.
Implications:
- Close patient monitoring is crucial after ESWL, especially in high-risk individuals.
- Physicians should exercise caution and consider alternative treatments for patients with specific risk factors.