Hemorrhagic Complication of Extracorporeal Shock Wave Lithotripsy in an Anticoagulated Patient*

Abstract

We describe a case of severe subcapsular renal bleeding secondary to extracorporeal shock wave lithotripsy (ESWL) performed on a fully anticoagulated patient receiving warfarin sodium (Coumadin). Nephrectomy was performed 15 days post-ESWL for sepsis presumed secondary to an infected hematoma. This is the first reported case of functional renal loss and nephrectomy secondary to a hemorrhagic complication of ESWL.