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体外冲击波碎石术后肾包膜下血肿:一种罕见的并发症。

Subcapsular hematoma of the kidney after extracorporeal shock wave lithotripsy: A rare complication.

作者信息

Jdaini Ahmed, Aynaou Mohammed, Irzi Mohamed, Mhanna Tarik, El Farhaoui Hammou, Barki Ali

机构信息

Department of Urology, Mohammed IV University Medical Center, Mohammed the First University Oujda, Morocco.

出版信息

Urol Case Rep. 2020 Apr 3;31:101194. doi: 10.1016/j.eucr.2020.101194. eCollection 2020 Jul.

DOI:10.1016/j.eucr.2020.101194
PMID:32300535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7152651/
Abstract

extracorporeal shock wave (ESLW) is a common and relatively safe procedure, with a high success rate and low side effects. its complications are limited to the kidneys and always disappear spontaneously. Acute pain is the only manifestation of kidney hematoma and should be explored. Conservative treatment is generally the treatment of choice. We reported the case of a 60-year-old man who underwent extracorporeal lithotripsy, 4 h after the procedure, he was presented to the emergency with severe abdominal pain, and a CT scan showed a hematoma of the left kidney. Conservative treatment was performed, and the patient was discharged at home in 48h.

摘要

体外冲击波(ESLW)是一种常见且相对安全的治疗方法,成功率高且副作用小。其并发症仅限于肾脏,并且通常会自行消失。急性疼痛是肾血肿的唯一表现,应进行检查。保守治疗通常是首选的治疗方法。我们报告了一例60岁男性患者的病例,该患者接受了体外冲击波碎石术,术后4小时,他因严重腹痛被送往急诊室,CT扫描显示左肾血肿。进行了保守治疗,患者在48小时后出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd1/7152651/76ce5b6ebed4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd1/7152651/bad1fe54d3b3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd1/7152651/76ce5b6ebed4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd1/7152651/bad1fe54d3b3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd1/7152651/76ce5b6ebed4/gr2.jpg

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Subcapsular hematoma of the kidney after extracorporeal shock wave lithotripsy: A rare complication.体外冲击波碎石术后肾包膜下血肿:一种罕见的并发症。
Urol Case Rep. 2020 Apr 3;31:101194. doi: 10.1016/j.eucr.2020.101194. eCollection 2020 Jul.
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Urol Case Rep. 2025 Aug 22;62:103164. doi: 10.1016/j.eucr.2025.103164. eCollection 2025 Sep.
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Delayed perinephric hematoma following ESWL in an anticoagulated patient: A case report.抗凝治疗患者体外冲击波碎石术后迟发性肾周血肿:一例报告
Int J Surg Case Rep. 2025 Aug;133:111626. doi: 10.1016/j.ijscr.2025.111626. Epub 2025 Jul 7.

本文引用的文献

1
Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention.25年后的体外冲击波碎石术:并发症及其预防
Eur Urol. 2006 Nov;50(5):981-90; discussion 990. doi: 10.1016/j.eururo.2006.01.045. Epub 2006 Feb 7.
2
First clinical experience with extracorporeally induced destruction of kidney stones by shock waves.体外冲击波诱导肾结石破坏的首次临床经验。
J Urol. 1982 Mar;127(3):417-20. doi: 10.1016/s0022-5347(17)53841-0.