Subcapsular hepatic hematoma with right hepatic vein thrombosis: a complication of shock wave lithotripsy

Authors

  • Jennifer Gordetsky Department of Urology, University of Rochester School of Medicine, Rochester, NY
  • Sean Hislop Department of Transplant Surgery, University of Rochester School of Medicine, Rochester, NY
  • Mark Orloff Department of Transplant Surgery, University of Rochester School of Medicine, Rochester, NY
  • Melanie Butler Department of Urology, University of Rochester School of Medicine, Rochester, NY
  • Erdal Erturk Department of Urology, University of Rochester School of Medicine, Rochester, NY

DOI:

https://doi.org/10.5489/cuaj.532

Abstract

Extracorporeal shock wave lithotripsy (ESWL) is a well-established, safe and
effective therapeutic modality for surgical treatment of urolithiasis. Hematoma
is a rare complication of ESWL and, when it occurs, typically involves the
kidney. We report the case of a 71-year-old woman who developed severe,
persistent abdominal pain after ESWL for a 9-mm stone at the ureteropelvic
junction. Post-treatment CT scan demonstrated a 13 × 6–cm subcapsular hepatic
hematoma. A follow-up CT scan showed expansion of the hematoma and development
of hepatic vein thrombosis. This finding, along with persistent abdominal
pain and rising liver transaminases, led to surgical intervention. The patient’s
symptoms resolved and liver function returned to baseline following liver decompression.

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Author Biographies

Jennifer Gordetsky, Department of Urology, University of Rochester School of Medicine, Rochester, NY

Sean Hislop, Department of Transplant Surgery, University of Rochester School of Medicine, Rochester, NY

Mark Orloff, Department of Transplant Surgery, University of Rochester School of Medicine, Rochester, NY

Melanie Butler, Department of Urology, University of Rochester School of Medicine, Rochester, NY

Erdal Erturk, Department of Urology, University of Rochester School of Medicine, Rochester, NY

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How to Cite

Gordetsky, J., Hislop, S., Orloff, M., Butler, M., & Erturk, E. (2013). Subcapsular hepatic hematoma with right hepatic vein thrombosis: a complication of shock wave lithotripsy. Canadian Urological Association Journal, 2(1), 61–3. https://doi.org/10.5489/cuaj.532

Issue

Vol. 2 No. 1 (2008): CUAJ February

Section

Case Report

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