[Splenic hematoma after extracorporeal lithotripsy: apropos of a case].
OBJECTIVE
To emphasise a case of splenic hematoma secondary to ESWL.


METHODS
We report the case of a 69 year old patient with the diagnosis of left kidney stone who underwent ESWL. The treatment was performed with an electric lithotripter after pre-treatment antibiotic prophylaxis; 2000 shock waves of 18 Kv were given to the patient.


RESULTS
Patient presented abdominal pain and hematocrit descent after lithotripsy. The diagnosis of splenic hematoma was established after abdominal ultrasound and CT-scan and the patient was treated conservatively. He required a posterior emergency splenectomy secondary to infection of the hematoma, with the result of death secondary to septic shock.


CONCLUSIONS
Splenic lesion is an exceptional complication after ESWL. There are no studies about the effect of shock waves on the spleen, having been reported only four cases. It is believed that extreme care should be taken in cases with splenic pathology: leukaemia, lymphoma, etc.
Conde Redondo
Consuelo
C
Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España. cconde@airtel.net
Estebanez Zarranz
Javier
J
Amón Sesmero
José
J
Manzanas
Manolo
M
Alonso Fernández
Daniel
D
Rodríguez Toves
Luis Antonio
LA
Martínez Sagarra
José María
JM
D015746:Abdominal Pain / Q000209:etiology; D000038:Abscess / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000209:etiology; D013293:Enterococcus faecalis; D017809:Fatal Outcome; D016908:Gram-Positive Bacterial Infections / Q000209:etiology; D006349:Heart Valve Diseases / Q000150:complications; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D010996:Pleural Effusion / Q000209:etiology; D011292:Premedication; D012772:Shock, Septic / Q000209:etiology; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000900:Anti-Bacterial Agents