RT Journal Article SR Electronic T1 Serious clopidogrel associated renal hematoma in a type 2 diabetic patient with primary hyperparathyroidism after extracorporeal shock wave lithotripsy JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1007 OP 1009 VO 26 IS 6 A1 Mithat Bahceci A1 Alpaslan Tuzcu A1 Ferruh Akay A1 Cuneyt Agil A1 Hatice Akay YR 2005 UL http://smj.org.sa/content/26/6/1007.abstract AB Renal hematoma after extracorporeal shock wave lithotripsy SWL is a rare complication. We report a case of a large renal hematoma following SWL that resulted in nephrectomy in a type 2 diabetic patient with primary hyperparathyroidism using clopidogrel due to coronary heart disease CHD. Although it was claimed that preoperative use of clopidogrel was not associated with increased bleeding, all patients who are scheduled for SWL should be interrogated in terms of using of platelet aggregation inhibitors such as clopidogrel, and these drugs should be interrupted appropriately before undergoing SWL.