[Treatment with TAE of subcapsular hematoma as a complication of extracorporeal shock wave lithotripsy (ESWL): a case report].
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.
Hirai
Kotaro
K
Department of Urology, Fujisawa Municipal Hospital.
Kita
Kaoru
K
Mikata
Kunihisa
K
Fujikawa
Naoya
N
Kitami
Kazuo
K
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