Clinical Experience With Extracorporeal Shock Wave Lithotripsy

Higashihara, Eiji; Niijima, Tadao; Tanda, Hitoshi; Kato, Shingo; Ohnishi, Shigeki; Shinozaki, Tadatoshi; Uehara, Hisao; Nakamura, Toshiyuki; Yanagisawa, Ryozo; Shoji, Fumio; Yokoyama, Masao; Yoshizawa, K; Arakawa, Takeo; Mashimo, Setsuo; Sioya, Takashi; Tajima, Atsushi; Aso, Yoshio; Ben, Arikazu; Ikeda, Ryosuke; Kudo, T; Higashi, Yoshihito; Kobayashi, Naomasa; Yoshida, Osamu; Ikeuchi, Hirokazu; Yamamoto, Keisuke; Maekawa, Masanobu; Harada, Masuyoshi; Gohji, Kazuo; Kamidono, Sadao; Matsuo, Yasuko; Mizuno, Akihiro; Kobashi, K

doi:10.5980/jpnjurol1928.78.12_2189

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“…Subcapsular hematoma is a very rare complication. Chaussy et al, 6 Drach et al, 7 Jocham et al, 8 and Higashihara et al 9 reported that the incidence of renal subcapsular hematoma after ESWL for renal or ureter stones was 0.1%-0.7%. Krishnamurthi and Streem 10 reported the long-term outcome of perirenal hematoma.…”

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confidence: 97%

Hepatic subcapsular hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic stones

Hirata

Kushida

Ohguri

et al. 1999

Journal of Gastroenterology

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We present a patient with complication of huge hepatic subcapsular hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic lithotripsy. The hematoma measured 78-110mm. Angiography showed a subcapsular hematoma, rather than a hematoma in the liver. In the arterial phase, the distal end of the small vessel showed spotty opacification similar to microaneurysma, suggesting that it was an injury caused by separation of the liver and its capsule, caused by the shock waves. The portal vein and hepatic vein were normal. After 8 weeks of conservative therapy, the hematoma was gradually absorbed and the patient was discharged. Eight months after the accident, the hematoma had decreased to 40mm in size. After 20 months, it was completely absorbed. The reported rate of renal subcapsular hematoma after ESWL for renal or ureter stones is 0.1%-0.7%. To date, however, only five cases of hepatic subcapsular hematoma after right renal stone disintegration have been reported. This is the first report of hepatic subcapsular hematoma after ESWL for pancreatic stones.

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