A death due to perirenal hematoma complicating extracorporeal shockwave lithotripsy |
| |
Authors: | Uemura Koichi Takahashi Sayuri Shintani-Ishida Kaori Nakajima Makoto Saka Kanju Yoshida Ken-ichi |
| |
Affiliation: | Section of Forensic Medicine, Department of International Health Development, Division of Public Health, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. kuemura@m.u-tokyo.ac.jp |
| |
Abstract: | Perirenal hematoma is an occasional complication of extracorporeal shockwave lithotripsy (ESWL) which does not usually require treatment. A 79-year-old woman died 23 h after ESWL. Forensic autopsy was performed to determine whether medical treatment contributed to her death. The cause of death was hemorrhagic shock due to massive hematoma from a ruptured small vein in the perirenal adipose capsule. No injury to other organs was found and the patient had neither coagulation abnormality nor venous disease. Perirenal hematoma can easily be diagnosed with abdominal sonography, if pain or symptoms of anemia develop. Doctors must be aware of the possibilities of severe renal hematomas after ESWL. |
| |
Keywords: | forensic science extracorporeal shockwave lithotripsy perirenal hematoma fatal case autopsy |
本文献已被 PubMed 等数据库收录! |