Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus.
Splenic trauma with hematoma following extracorporeal shock wave lithotripsy (ESWL) is very rare. We reported a case of subcapsular hematoma of spleen with impending rupture following ESWL for ureteral calculus. This case was noted to have liver cirrhosis and splenomegaly, and received a total of 2000 shock waves under 18 kilovoltage. The subcapsular hematoma occurred 2 months later. Splenectomy was undertaken for a symptomatic huge subcapsular hematoma and thrombocytopenia. We reviewed the literature and concluded that portal hypertension with severe coagulopathy are contraindications for ESWL, even in case with ureteral calculus.
Chen
C S
CS
Division of Urology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
Lai
M K
MK
Hsieh
M L
ML
Chu
S H
SH
Huang
M H
MH
Chen
S J
SJ
D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008875:Middle Aged; D013158:Splenic Diseases / Q000209:etiology*; D014514:Ureteral Calculi / Q000628:therapy*