Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus.

Abstract

Splenic trauma with hematoma following extracorporeal shock wave lithotripsy (ESWL) is very rare. We reported a case of subcapsular hematoma of spleen with impending rupture following ESWL for ureteral calculus. This case was noted to have liver cirrhosis and splenomegaly, and received a total of 2000 shock waves under 18 kilovoltage. The subcapsular hematoma occurred 2 months later. Splenectomy was undertaken for a symptomatic huge subcapsular hematoma and thrombocytopenia. We reviewed the literature and concluded that portal hypertension with severe coagulopathy are contraindications for ESWL, even in case with ureteral calculus.

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@article{Chen1992SubcapsularHO, title={Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus.}, author={Ching S. Chen and Mitchell K P Lai and M. L. Hsieh and Shirley H-T Chu and M H Huang and S Chen}, journal={Changgeng yi xue za zhi}, year={1992}, volume={15 4}, pages={215-9} }