• Am J Emerg Med · Sep 2013

    Case Reports

    Intrahepatic hematoma requiring hepatic artery embolization: a rare complication of extracorporeal shock wave lithotripsy.

    • Y Veronica Pei.
    • Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca St, Suite 6200, Baltimore, MD 21201. Electronic address: vpei@umem.org.
    • Am J Emerg Med. 2013 Sep 1;31(9):1425.e1-2.

    AbstractExtracorporeal shock wave lithotripsy is a well-established treatment modality for renal calculi since the 1980s (Urology 1984;23(5):59–66). In general, it is a safe and effective noninvasive therapeutic modality for treatment of urolithiasis. Bleeding complications of this procedure are rare and usually involve the kidneys. In this case report, a 56-year-old woman developed severe abdominal pain with signs of hemorrhagic shock 2 days post–extracorporeal shock wave lithotripsy procedure. Computed tomography of the abdomen and pelvis showed a large intrahepatic hemorrhage that required hepatic artery embolization.

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