title: [Splenic hematoma after extracorporeal lithotripsy: apropos of a case].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España. cconde@airtel.net
authors.forename: Consuelo
authors.initials: C
authors.lastname: Conde Redondo
authors.forename: Javier
authors.initials: J
authors.lastname: Estebanez Zarranz
authors.forename: José
authors.initials: J
authors.lastname: Amón Sesmero
authors.forename: Manolo
authors.initials: M
authors.lastname: Manzanas
authors.forename: Daniel
authors.initials: D
authors.lastname: Alonso Fernández
authors.forename: Luis Antonio
authors.initials: LA
authors.lastname: Rodríguez Toves
authors.forename: José María
authors.initials: JM
authors.lastname: Martínez Sagarra
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents