Perirenal hematoma after extracorporeal shock-wave lithotripsy
Diagnosis almost certain
Presentation
Right flank pain after ESWL.
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There is a heterogenous and hypoechoic subcapsular fluid collection along right kidney.
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CT scan confirms the subcapsular hematoma on right kidney.
Case Discussion
Extracorporeal shock wave lithotripsy (ESWL) is a noninvasive procedure that has been safely and effectively used to treat urinary tract calculi. An acute renal injury, like this subcapsular hematoma, is the most common complication from this procedure.