Life-Threatening Complication after Extracorporeal Shock Wave Lithotripsy for a Renal Stone: A Hepatic Subcapsular Hematoma
김태범, 윤상진, 박호기, 정한, 이광염, 김계환,
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김태범 ( Kim Tae-Beom )
가천의과학대학교 길병원 비뇨기과
윤상진 ( Yoon Sang-Jin )
가천의과학대학교 길병원 비뇨기과
박호기 ( Park Ho-Ki )
가천의과학대학교 길병원 비뇨기과
정한 ( Jung Han )
가천의과학대학교 길병원 비뇨기과
이광염 ( Lee Kwang-Yeom )
가천의과학대학교 길병원 비뇨기과
김계환 ( Kim Khae-Hawn )
가천의과학대학교 길병원 비뇨기과학교실
KMID : 0358320100510030212
Abstract
Extracorporeal shock wave lithotripsy (ESWL) has revolutionized the management of urolithiasis since it was first introduced in 1980. ESWL is a well-established, safe and effective therapeutic alternative to surgical treatment for urolithiasis. Complications of ESWL do occur in a small number of patients, and when they do, they typically involve the kidney. We present a case of a young female patient who developed a huge hepatic subcapsular hematoma accompanied by hypovolemic shock after ESWL for a 9 mm stone in the right kidney. The hematoma measured 13×6 cm. Conservative care with no surgical intervention was chosen because there was no evidence of active bleeding on the computed tomography. After conservative therapy, the hematoma was gradually absorbed and the patient was discharged.
키워드
Lithotripsy;Hematoma;Complications
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