scholarly journals Subcapsular hepatic hematoma with right hepatic vein thrombosis: a complication of shock wave lithotripsy

2013 ◽  
Vol 2 (1) ◽  
pp. 61 ◽  
Author(s):  
Jennifer Gordetsky ◽  
Sean Hislop ◽  
Mark Orloff ◽  
Melanie Butler ◽  
Erdal Erturk

Extracorporeal shock wave lithotripsy (ESWL) is a well-established, safe andeffective therapeutic modality for surgical treatment of urolithiasis. Hematomais a rare complication of ESWL and, when it occurs, typically involves thekidney. We report the case of a 71-year-old woman who developed severe,persistent abdominal pain after ESWL for a 9-mm stone at the ureteropelvicjunction. Post-treatment CT scan demonstrated a 13 × 6–cm subcapsular hepatichematoma. A follow-up CT scan showed expansion of the hematoma and developmentof hepatic vein thrombosis. This finding, along with persistent abdominalpain and rising liver transaminases, led to surgical intervention. The patient’ssymptoms resolved and liver function returned to baseline following liver decompression.

2020 ◽  
Vol 31 ◽  
pp. 101194
Author(s):  
Ahmed Jdaini ◽  
Mohammed Aynaou ◽  
Mohamed Irzi ◽  
Tarik Mhanna ◽  
Hammou El farhaoui ◽  
...  

1978 ◽  
Vol 48 (1) ◽  
pp. 143-145 ◽  
Author(s):  
Patricia A. O'Shea

✓ A case is reported of hepatic vein thrombosis (Budd-Chiari syndrome) complicating ventriculoatrial shunt for tumoral hydrocephalus. The diagnosis of hepatic vein thrombosis requires specific radiographic investigations that are unlikely to be undertaken unless the condition is specifically suspected. An awareness of this rare and frequently fatal complication is essential for proper diagnosis and treatment.


2013 ◽  
Vol 20 (2) ◽  
Author(s):  
Muhammad Omar Rusydi ◽  
Djoko Rahardjo

Objective: To evaluate the management of ureterolithiasis using Extracorporeal Shock Wave Lithotripsy (ESWL) EDAP Sonolith Technomed compared to ureteroscopy (URS) with holmium:YAG laser lithotripsy. Material & Method: Research was conducted at Central Pertamina Hospital Jakarta by comparative analysis. The data was taken from patients’ medical records diagnosed with ureterolithiasis who had been treated from January to Desember 2009.Results: Central Hospital Pertamina Jakarta had treated 127 patients with urolithiasis from January to December 2009. Most frequent therapeutic modality was URS, which was followed by ESWL.Double J stents were used in 19,8% of the treatmentin combination with URS, more common than ESWL. Stone free rate in urolithiasis was not significantly different between treatment with URS and ESWL, although stone free rate of URS was higher than ESWL.Use of DJ stent didn’t affect stone free rate of urolithiasis from two of these modalities.Conclusion: Stone free rate of these modalities was below of stone free rate at literatures published, because evaluation from stone free rate of this research was taken after the treatment or 1-2 days after the treatment with imaging of KUB and USG.Keywords: Urolithiasis, extracorporeal shock wave lithotripsy, ureteroscopic,DJ stent, stone free rate.


2014 ◽  
Vol 32 (11) ◽  
pp. 1436.e3-1436.e4 ◽  
Author(s):  
Onder Limon ◽  
Funda Ugur Kantar ◽  
Erkan Şahin ◽  
Murat Arslan ◽  
Aslı Aydınoglu Ugurhan

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Maral Mokhtari ◽  
Perikala Vijayananda Kumar ◽  
Mohammad-Ali Ghayumi

Background. Extracorporeal shock wave lithotripsy has been widely used to treat renal stones. The procedure is relatively safe with minor complications.Case. The patient is a 32-year-old man who presented with left sided pleural effusion after extracorporeal shock wave lithotripsy.Results. The pleural effusion study revealed an exudative fluid rich in eosinophils (30%). So, the diagnosis of eosinophilic pleural effusion as a complication of lithotripsy was made.Conclusion. Extracorporeal shock wave lithotripsy should be regarded as an etiology of unexplained eosinophilic pleural effusion after this procedure.


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