Document Detail

Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus.
MedLine Citation:
PMID:  1295657     Owner:  NLM     Status:  MEDLINE    
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.
C S Chen; M K Lai; M L Hsieh; S H Chu; M H Huang; S J Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Changgeng yi xue za zhi / Changgeng ji nian yi yuan = Chang Gung medical journal / Chang Gung Memorial Hospital     Volume:  15     ISSN:  -     ISO Abbreviation:  Changgeng Yi Xue Za Zhi     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-04-19     Completed Date:  1993-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9809559     Medline TA:  Changgeng Yi Xue Za Zhi     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  215-9     Citation Subset:  IM    
Division of Urology, Chang Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.
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MeSH Terms
Hematoma / etiology*
Lithotripsy / adverse effects*
Middle Aged
Splenic Diseases / etiology*
Ureteral Calculi / therapy*

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