Subcapsular hematoma is an exceedingly rare complication of extracorporeal shockwave lithotripsy (ESWL) for renal stones with cases demonstrating evidence of active arterial bleeding even more so.A 49-year-old male houston texans shorts presented with acute onset right flank pain two hours following ESWL.CT scan with contrast revealed active contrast extravasation kenya tree coral for sale consistent with arterial bleeding.The patient was managed with arterial embolization and recovered uneventfully following a 4-day hospitalization.