A 58-year-old woman.
Gallstone illuminated colitis of the left kidney.
Personal history: Severe hypertension difficult to control, because on a previous occasion Leoch had to be suspended until blood pressure levels were stabilized with study and treatment by the Nephrology Department.
Moderate obesity.
First Leoch.
No and intensity of waves: 4,500 to 4.
Clinical: She is admitted two days after Leoch left kidney with left lumboabdominal pain and hypovolemic shock with Hb of 7 and Hto 24.
Four units of concentrate were transfused during hospitalization to stabilize Hb between 9 and 9.5.
CT scan showed the presence of a hematoma with underlying pleural effusion.
1.
In the VU a few days later, there was functional delay of the left kidney and deficient visualization of cavities and infundibulums due to compression of the same with normal ureter.
1.
Percentesis was performed with evacuation of 200 cc fluid.
Twelve days after the hematoma was produced, the hematoma was drained by lumbotomy; four days later, he was discharged with good general condition.
Subsequent controls and laboratory tests confirmed normal bilateral renal function.
