Volume 10, Number 3Case ReviewShock Wave Lithotripsy and Renal HemorrhageCase ReviewJ Kellogg ParsonsJonathan SilbersteinCharles M LakinAlthough shock wave lithotripsy is a safe and efficacious treatment for nephrolithiasis, the most common acute complication is renal hemorrhage. Shock wave–induced renal hemorrhage is a potentially devastating injury if not promptly recognized and treated appropriately. The authors report a large perirenal hematoma occurring after shock wave lithotripsy and review the causes, prevention, and treatment of shock wave–induced renal hemorrhage. [Rev Urol. 2008;10(3):236-241]NephrolithiasisShock wave lithotripsyHematoma