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{
    "pk": 8252,
    "title": "Renal Rupture Following Extracorporeal  Shockwave Lithotripsy",
    "subtitle": null,
    "abstract": "A 41-year-old woman presented to the emergency department with a chief complaint of hematuria three days status post extracorporeal shockwave lithotripsy. The patient described a three-day history of worsening left-sided abdominal pain immediately following the procedure. She denied any fever, chills, changes in bowel habits, hematochezia, increased urinary frequency, urinary urgency, or dysuria.\nPhysical exam revealed tenderness to palpation in the left upper quadrant, left flank and periumbilical region with mild guarding. Laboratory studies revealed an anemic patient with downward trending hematocrit (red blood cell count of 3.41 106/µL, hemoglobin of 10.6 g/dL, and a hematocrit of 31.3% down from 43% a week and a half prior). Urinalysis revealed red and cloudy urine with 3+ leukocytes.\nA chest radiograph was unremarkable. A computed tomography of the chest, abdomen, and pelvis showed a laceration to the lateral aspect of the mid left kidney with a hematoma measuring 3.2 cm in thickness (Figure). The patient was subsequently admitted to the hospital for monitoring and discharged on day nine. [West J Emerg Med. 2014;15(6):-0]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "renal rupture"
        },
        {
            "word": "extracorporeal shockwave lithotripsy"
        },
        {
            "word": "ESWL complications"
        }
    ],
    "section": "Patient Safety",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/94v6g4qf",
    "frozenauthors": [
        {
            "first_name": "Sam",
            "middle_name": "S.",
            "last_name": "Torbati",
            "name_suffix": "",
            "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Niku",
            "name_suffix": "",
            "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Elaine",
            "middle_name": "",
            "last_name": "Vos",
            "name_suffix": "",
            "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Shomari",
            "middle_name": "",
            "last_name": "Hogan",
            "name_suffix": "",
            "institution": "Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        }
    ],
    "date_submitted": "2014-05-08T12:11:04-07:00",
    "date_accepted": "2014-05-08T12:11:04-07:00",
    "date_published": "2014-06-26T14:53:15-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8252/galley/4729/download/"
        }
    ]
}