Subcapsular hematoma of spleen--a complication following extracorporeal shock wave lithotripsy for ureteral calculus
Chen, C.S.; Lai, M.K.; Hsieh, M.L.; Chu, S.H.; Huang, M.H.; Chen, S.J.
Changgeng Yi Xue Za Zhi 15(4): 215-219
1992
ISSN/ISBN: 2072-0939 PMID: 1295657 Document Number: 392531
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.