title: Intrahepatic hematoma requiring hepatic artery embolization: a rare complication of extracorporeal shock wave lithotripsy.
abstract: Extracorporeal shock wave lithotripsy is a well-established treatment modality for renal calculi since the 1980s (Urology 1984;23(5):59–66). In general, it is a safe and effective noninvasive therapeutic modality for treatment of urolithiasis. Bleeding complications of this procedure are rare and usually involve the kidneys. In this case report, a 56-year-old woman developed severe abdominal pain with signs of hemorrhagic shock 2 days post–extracorporeal shock wave lithotripsy procedure. Computed tomography of the abdomen and pelvis showed a large intrahepatic hemorrhage that required hepatic artery embolization.
authors.affiliation: Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca St, Suite 6200, Baltimore, MD 21201. Electronic address: vpei@umem.org.
authors.forename: Y Veronica
authors.initials: YV
authors.lastname: Pei
mesh_terms: D004621:Embolization, Therapeutic; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects*; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D011859:Radiography; D015642:Radiology, Interventional