Molina Gabriel A, Moyon Miguel A, Moyon Fernando X, Tufiño Jorge F, Guzmán Lenin J, Mecias R Alejandro, Cevallos Jaime M, Serrano D Santiago
PGY4 Resident General Surgery, P.U.C.E., Quito, Ecuador.
Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador.
J Surg Case Rep. 2019 Apr 11;2019(4):rjz114. doi: 10.1093/jscr/rjz114. eCollection 2019 Apr.
Extracorporeal shock wave lithotripsy (ESLW) is a common and relatively safe procedure, with a high success rate and low adverse effects. Complications of this procedure are usually limited to the kidneys and almost always resolve spontaneously. However, on rare occasions, a frightening complication, as a hematoma of a parenchymatous organ, such as the liver can appear. Abdominal pain is usually the only manifestation when a liver hematoma develops, and should always be investigated, as this dreaded complication can put the patient's life at risk. Conservative treatment is usually the treatment of choice, nevertheless, on severe cases that do not respond to conservative measures, surgery or embolization is necessary. We report the case of a 38-year-old male who underwent ESWL, 12 h after the procedure he presented to the emergency room with severe abdominal pain, after complementary exams a liver hematoma was detected. Following conservative management, the patient fully recovered.
体外冲击波碎石术（ESWL）是一种常见且相对安全的手术，成功率高且不良反应少。该手术的并发症通常局限于肾脏，几乎总是能自发缓解。然而，在极少数情况下，可能会出现令人恐惧的并发症，如实质器官（如肝脏）的血肿。肝血肿形成时，腹痛通常是唯一的表现，应始终进行检查，因为这种可怕的并发症可能危及患者生命。保守治疗通常是首选治疗方法，不过，对于对保守措施无反应的严重病例，手术或栓塞是必要的。我们报告一例38岁男性患者，他接受了体外冲击波碎石术，术后12小时因严重腹痛到急诊室就诊，经辅助检查发现肝血肿。经过保守治疗，患者完全康复。
