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体外冲击波碎石术后伴活动性动脉出血的肾周血肿

Perinephric Hematoma with Active Arterial Hemorrhage following Extracorporeal Shockwave Lithotripsy.

作者信息

Assaf Edward, Abou Zahr Rawad, Ghabi Elie, Ghantous Imad

机构信息

Urology Department, St George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.

Faculty of Medicine and Medical Sciences, St George Hospital University Medical Center, University of Balamand, Beirut, Lebanon.

出版信息

Case Rep Urol. 2019 Jan 6;2019:1547437. doi: 10.1155/2019/1547437. eCollection 2019.

DOI:10.1155/2019/1547437
PMID:30723569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6339706/
Abstract

Subcapsular hematoma is an exceedingly rare complication of extracorporeal shockwave lithotripsy (ESWL) for renal stones with cases demonstrating evidence of active arterial bleeding even more so. A 49-year-old male presented with acute onset right flank pain two hours following ESWL. CT scan with contrast revealed active contrast extravasation consistent with arterial bleeding. The patient was managed with arterial embolization and recovered uneventfully following a 4-day hospitalization.

摘要

肾包膜下血肿是体外冲击波碎石术（ESWL）治疗肾结石极为罕见的并发症，有病例显示甚至存在活动性动脉出血的证据。一名49岁男性在ESWL治疗两小时后出现急性右侧腰痛。增强CT扫描显示有造影剂外渗，提示活动性动脉出血。该患者接受了动脉栓塞治疗，住院4天后顺利康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/b7f2c90527e5/CRIU2019-1547437.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/48b6143b991c/CRIU2019-1547437.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/82b3d59dbab1/CRIU2019-1547437.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/b7f2c90527e5/CRIU2019-1547437.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/48b6143b991c/CRIU2019-1547437.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/82b3d59dbab1/CRIU2019-1547437.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c57e/6339706/b7f2c90527e5/CRIU2019-1547437.003.jpg

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本文引用的文献

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Successful evacuation of large perirenal hematoma after extracorporeal shock wave lithotripsy (ESWL) - step 1 of the IDEAL recommendations of surgical innovation.体外冲击波碎石术（ESWL）后成功清除巨大肾周血肿——手术创新理想建议的第一步。
Clin Case Rep. 2017 Jan 16;5(2):123-125. doi: 10.1002/ccr3.792. eCollection 2017 Feb.
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Life-threatening complication after extracorporeal shock wave lithotripsy for a renal stone: a hepatic subcapsular hematoma.体外冲击波碎石治疗肾结石后出现的危及生命的并发症：肝包膜下血肿。
Korean J Urol. 2010 Mar;51(3):212-5. doi: 10.4111/kju.2010.51.3.212. Epub 2010 Mar 19.
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Kidney rupture after extracorporeal shockwave lithotripsy: report of a case.
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J Emerg Med. 2009 Jul;37(1):13-4. doi: 10.1016/j.jemermed.2008.07.020. Epub 2008 Dec 20.
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Shock wave lithotripsy and renal hemorrhage.冲击波碎石术与肾出血
Rev Urol. 2008 Summer;10(3):236-41.
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Can Urol Assoc J. 2008 Feb;2(1):61-3. doi: 10.5489/cuaj.532.
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ScientificWorldJournal. 2007 Sep 17;7:1563-6. doi: 10.1100/tsw.2007.236.
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