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+58-year-old woman. Calcific calcific lithiasis of the left kidney.
+Personal history: severe hypertension difficult to control, as on a previous occasion Leoch had to be suspended until the blood pressure figures were stabilised with study and treatment by the Nephrology Department. Moderate obesity.
+First Leoch. Number and intensity of waves: 4,500 to 4.
+Clinical: Admitted two days after Leoch of the left kidney with left lumboabdominal pain and hypovolemic shock with Hb of 7 and Hto 24.
+Four units of red blood cell concentrate were transfused over the days of admission to stabilise the Hb between 9 and 9.5.
+CT scan showed the existence of a subcapsular haematoma with lithiasic fragments and pleural effusion on the left.
+
+In IVUS a few days later, there was functional delay of the left kidney and poor visualisation of the calyces and infundibula due to compression of the same with normal ureter.
+
+Thoracentesis was performed with evacuation of 200 cc of haematic fluid.
+Twelve days after the haematoma, it was drained by lumbotomy; four days later she was discharged in good general condition. Subsequent radiological and analytical controls confirmed normal bilateral renal function.
+