Subcapsular liver hematoma after extracorporeal shock wave lithotripsy, a rare complication.

Autor: Molina GA; PGY4 Resident General Surgery, P.U.C.E., Quito, Ecuador., Moyon MA; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Moyon FX; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Tufiño JF; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Guzmán LJ; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Mecias RA; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Cevallos JM; Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador., Serrano DS; PGY3 Resident General Surgery, P.U.C.E., Quito, Ecuador.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2019 Apr 11; Vol. 2019 (4), pp. rjz114. Date of Electronic Publication: 2019 Apr 11 (Print Publication: 2019).
DOI: 10.1093/jscr/rjz114
Abstrakt: Extracorporeal shock wave lithotripsy (ESLW) is a common and relatively safe procedure, with a high success rate and low adverse effects. Complications of this procedure are usually limited to the kidneys and almost always resolve spontaneously. However, on rare occasions, a frightening complication, as a hematoma of a parenchymatous organ, such as the liver can appear. Abdominal pain is usually the only manifestation when a liver hematoma develops, and should always be investigated, as this dreaded complication can put the patient's life at risk. Conservative treatment is usually the treatment of choice, nevertheless, on severe cases that do not respond to conservative measures, surgery or embolization is necessary. We report the case of a 38-year-old male who underwent ESWL, 12 h after the procedure he presented to the emergency room with severe abdominal pain, after complementary exams a liver hematoma was detected. Following conservative management, the patient fully recovered.
Databáze: MEDLINE
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