title: [Treatment with TAE of subcapsular hematoma as a complication of extracorporeal shock wave lithotripsy (ESWL): a case report].
abstract: A 58-year-old man with a left renal stone and with poor controlled hypertension was attacked by sudden onset of left renal colic pain, gross hematuria and nausea at 3 hours after ESWL. Ultrasonography and enhanced computed tomography revealed severe subcapsular hematoma, which compressed the left kidney. Since serum hemoglobin level continued to decrease in spite of 7 days of conservative therapy, we performed transfusion of red blood cells and selective transarterial embolization (TAE). Renal angiography showed multiple pseudo-aneurysms of arteriole at the lower pole of the left kidney. Embolization of left renal artery was effective to relieve patient's symptom and to stabilize the serum hemoglobin level.
authors.affiliation: Department of Urology, Fujisawa Municipal Hospital.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Hirai
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kita
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Mikata
authors.forename: Naoya
authors.initials: N
authors.lastname: Fujikawa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kitami
mesh_terms: D004621:Embolization, Therapeutic; D006406:Hematoma / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006977:Hypertension, Renal / Q000150:complications; D007669:Kidney Calculi / Q000628:therapy; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging