title: Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus.
abstract: 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.
authors.affiliation: Division of Urology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
authors.forename: C S
authors.initials: CS
authors.lastname: Chen
authors.forename: M K
authors.initials: MK
authors.lastname: Lai
authors.forename: M L
authors.initials: ML
authors.lastname: Hsieh
authors.forename: S H
authors.initials: SH
authors.lastname: Chu
authors.forename: M H
authors.initials: MH
authors.lastname: Huang
authors.forename: S J
authors.initials: SJ
authors.lastname: Chen
mesh_terms: 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*