Continuous evaluation for retroperitoneal hematoma following extracorporeal shock wave lithotripsy

In this paper we report on a patient with extensive retroperitoneal hematoma due to extracorporeal shock wave lithotripsy (ESWL) for a renal stone. The patient had a negative history of previous primary renal disease or risk factors for retroperitoneal hemorrhage after ESWL. The hematoma was treated...

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Bibliographic Details
Published inUrologia internationalis Vol. 51; no. 2; p. 114
Main Authors Umekawa, T, Yamate, T, Amasaki, N, Ishikawa, Y, Kohri, K, Kurita, T
Format Journal Article
LanguageEnglish
Published Switzerland 01.01.1993
Subjects
Adult
Contrast Media
Follow-Up Studies
Gadolinium DTPA
Hematoma - diagnosis
Hematoma - epidemiology
Hematoma - etiology
Humans
Kidney Calculi - therapy
Lithotripsy - adverse effects
Magnetic Resonance Imaging - methods
Male
Organometallic Compounds
Pentetic Acid
Retroperitoneal Space - pathology
Risk Factors
Time Factors
Tomography, X-Ray Computed
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Summary:In this paper we report on a patient with extensive retroperitoneal hematoma due to extracorporeal shock wave lithotripsy (ESWL) for a renal stone. The patient had a negative history of previous primary renal disease or risk factors for retroperitoneal hemorrhage after ESWL. The hematoma was treated conservatively and it was completely absorbed 9 months after ESWL as evaluated by computed tomography. Gd-DTPA-enhanced dynamic magnetic resonance imaging (dynamic MRI) was performed immediately after formation of the hematoma. The decrease in renal blood flow in the affected kidney could be observed in this patient by dynamic MRI and its time intensity curve.
ISSN:0042-1138
DOI:10.1159/000282527