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Perirenal hematoma after extracorporeal shock-wave lithotripsy

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Right flank pain after ESWL.

There is a heterogenous and hypoechoic subcapsular fluid collection along right kidney. 

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 calculiAn acute renal injury, like this subcapsular hematoma, is the most common complication from this procedure.

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