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Severe hemorrhage after extracorporeal shock-wave lithotripsy.


We report two cases of severe hemorrhage soon after lithotripsy. The first patient, who was elderly and recovering from epidural anesthesia, had postoperative hypotension, tachycardia, cardiac arrest, and death. In the second patient, the case was characterized by early recognition of bleeding, successful volume resuscitation with blood transfusions, readiness for surgical reexploration, and critical-care monitoring.

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