Severe Hemorrhage after Extracorporeal Shock-Wave Lithotripsy
Authors: Marshall L. Stoller
Journal: Annals of Internal Medicine (1989)

Brief Reports1 October 1989Severe Hemorrhage after Extracorporeal Shock-Wave LithotripsyMarshall L. Stoller, MD, Lawrence Litt, PhD, MD, Robert G. Salazar, MDMarshall L. Stoller, MD, Lawrence Litt, PhD, MD, Robert G. Salazar, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-111-7-612 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptExtracorporeal shock-wave lithotripsy is now commonly used for the treatment of urinary calculi (1, 2). When first-generation lithotripters are used, epidural or general anesthesia is often provided to prevent pain (3). Newer lithotripters with improved shock-wave generators and better shock-wave focusing do not cause discomfort requiring anesthesia. Treatable complications of lithotripsy, other than complications associated with anesthesia alone, have been reported, including renal parenchymal disruption, subcapsular renal hematoma formation, and, rarely, cardiac dysrhythmias, pancreatitis, liver hematomas, and hemorrhage requiring blood transfusions (2, 4-7). We report two cases of severe hemorrhage soon after lithotripsy. The first patient, who was elderly and...References1. ChaussySchullerSchmiedtBrandlJochamLiedl CJTHDB. Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology. 1984;23:(Suppl 5):59-66. CrossrefMedlineGoogle Scholar2. RiehleFairVaughan RWE. Extracorporeal shock-wave lithotripsy for upper urinary tract calculi. JAMA. 1986;255:2043-8. CrossrefMedlineGoogle Scholar3. DuvallGriffith JD. Epidural anesthesia for extracorporeal shock wave lithotripsy. Anesth Analg. 1985;64:544-6. CrossrefMedlineGoogle Scholar4. DrachDretlerFair GSW. Report of the United States cooperative study of extracorporeal shock wave lithotripsy. J Urol. 1986;135:1127-33. CrossrefMedlineGoogle Scholar5. BushGibbonsLewisBrannen WRGG. Impact of extracorporeal shock-wave lithotripsy on percutaneous stone procedures. AJR. 1986;147:89-93. CrossrefMedlineGoogle Scholar6. Chaussy C. Extracorporeal Shock Wave Lithotripsy: Technical Concept, Experimental Research, and Clinical Application. New York: Karger; 1986:145-50. Google Scholar7. KnappKulbLingeman PTJ. Extracorporeal shock wave lithotripsy-induced perirenal hematomas. J Urol. 1988;139:700-3. CrossrefMedlineGoogle Scholar8. . Lithotripsy. Ann Intern Med. 1985;103:626-9. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the University of California at San Francisco, San Francisco, California. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByTri-modality cavitation mapping in shock wave lithotripsyCardiac Effects of Water Immersion in Healthy VolunteersSTAGHORN CALCULISevere Perinephric Hemorrhage after Shockwave LithotripsyMedical applications and bioeffects of extracorporeal shock wavesSevere Haemorrhage after Extracorporeal Shock Wave Lithotripsy: Radiological EvaluationEffects of focused shock waves on biological tissues: Cavitation in the prefocal region and the fluid flow in the focal regionSubmucosal gastric hemorrhage following extracorporeal shock wave lithotripsy of bile duct stonesShock Wave Lithotripsy-Induced Renal InjuryRenal Injury by Extracorporeal Shock Wave Lithotripsy 1 October 1989Volume 111, Issue 7Page: 612-613KeywordsAnesthesiaArrhythmiaBlood transfusionElderlyGeneral anesthesiaHemorrhageLiverPancreatitisUrology Issue Published: 1 October 1989 PDF DownloadLoading ...