Subcapsular Hematoma of Kidney with Rupture into the Perirenal Space after Extracorporeal Shock Wave Lithotripsy: A Case Report

體外震波碎石術後併發腎臟包膜下及周邊血腫：一個病例報告

黃亮中(Liang-Chung Huang) ； 陳孟佳(Meng-Chia Chen) ； 許哲偉(Che-Wei Hsu)

《中華民國急救加護醫學會雜誌》 21卷4期 (2010/12) Pp. 196-202

https://doi.org/10.30018/JECCM.201012.0002

摘要

體外震波碎石(ESWL)術後產生的併發症通常都很輕微，嚴重的併發症，如腎臟血腫，並不常見。我們報告一病例：58歲男子接受體外震波碎石(ESWL)後，併發腎臟包膜下血腫並破入腎臟周邊。病人因血紅素下降而有輸血，住院五天後病情穩定出院。術後併發出血的危險因子包括：高血壓，糖尿病，肥胖，震波次數，凝血功能異常及年紀較大者。治療通常為保守性治療。急診醫師面對有高危險因子的病患，應保持警覺並安排進一步的檢查。

關鍵字

體外震波碎石術ESWL ； 併發症 ； 包膜下血腫

並列摘要

Complications after extracorporeal shock wave lithotripsy (ESWL) are usually mild. Severe complications, such as renal hematoma are uncommon. We report a case of kidney subcapsular hematoma and a rupture into the perirenal space after extracorporeal shock wave lithotripsy (ESWL). The patient received a transfusion due to decreased hemoglobin levels and an increased heart rate. He was discharged 5 days after admission and in a stable condition. The risk factor of hemorrhaging includes hypertension, diabetes mellitus (DM), obesity, shock wave number, coagulopathy and increasing age. Management is always conservative. The emergency physician should be alert about high risk patients and arrange further investigations.

並列關鍵字

extracorporeal shock wave lithotripsy ESWL ； complications ； subcapsular hematoma