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CASE REPORT

Perirenal hematoma extending to the ipsilateral scrotum region after shock wave lithotripsy treatment


1 Department of Surgery, Division of Urology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan
2 Department of Nutritional Science, Fu Jen Catholic University, Taipei, Taiwan
3 Department of Surgery, Division of Urology, Tri-Service General Hospital, Song-Shan Branch, Taipei, Taiwan

Correspondence Address:
Chih-Wei Tsao,
Department of Surgery, Division of Urology, National Defense Medical Center, Tri-Service General Hospital, No. 325, Section 2, Cheng-Gung Road, Taipei 10114
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_63_18

Perirenal hematoma after extracorporeal shock wave lithotripsy (ESWL) is an unusual but underdiagnosed complication. Most hematomas are asymptomatic, but severe complications are possible, which may require intervention such as a blood transfusion. We present the case of a 41-year-old Asian man suffering from a symptomatic huge perirenal/subcapsular hematoma with scrotal hematoma after ESWL; we reviewed the literature and examined the possible risk factors and treatments. This case was a very rare presentation of hematoma extension into the scrotum region from an ipsilateral perirenal hemorrhage caused by shock wave lithotripsy treatment.


 

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