Clinics in diagnostic imaging (38). Post-ESWL perinephric haematoma.
A 57-year-old man presented with urosepsis related to urinary calculi. He underwent multiple sessions of ESWL and developed a perinephric haematoma that was treated conservatively and monitored by serial imaging. However, the haematoma became infected, necessitating percutaneous drainage 2 months after the initial ESWL. The risk factors and sequelae of post-ESWL perinephric haematoma, as well as its diagnosis and imaging, are discussed.
Chong
K W
KW
Department of Urology, Singapore General Hospital, Singapore.
Yip
S K
SK
Lo
R H
RH
Li
M K
MK
Foo
K T
KT
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology; D003937:Diagnosis, Differential; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D007709:Klebsiella / Q000302:isolation & purification; D007710:Klebsiella Infections / Q000175:diagnosis / Q000209:etiology; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011859:Radiography; D014514:Ureteral Calculi / Q000628:therapy*