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Yin G, Pan X, Tian H, Zhou Z, Li J, Tian F, Fan Q, Wang X, Qi L, Li Y. Spontaneous renal rupture due to renal calculi: A case report and literature review. Exp Ther Med 2022; 24:588. [DOI: 10.3892/etm.2022.11525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/09/2022] [Indexed: 11/06/2022] Open
Affiliation(s)
- Guicao Yin
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Xiang Pan
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Haoyu Tian
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Zhengxi Zhou
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Junhui Li
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Feng Tian
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Qibing Fan
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Xiaoxiang Wang
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Lezhong Qi
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
| | - Yifan Li
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, Jiangsu 225000, P.R. China
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Zhou Z, Dong C, Huang Y, Wang X. A grade Ⅳ renal injury patient after receiving twice extracorporeal shockwave lithotripsy (ESWL) at intervals of less than three days. Asian J Surg 2022; 45:1712-1714. [PMID: 35597748 DOI: 10.1016/j.asjsur.2022.05.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 05/06/2022] [Indexed: 11/16/2022] Open
Affiliation(s)
- Zhengxi Zhou
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, 225000, Jiangsu Province, China
| | - Changming Dong
- Department of Urology, First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, China
| | - Yanping Huang
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, 225000, Jiangsu Province, China
| | - Xiaoxiang Wang
- Department of Urology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, 225000, Jiangsu Province, China.
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Is there a place for extracorporeal shockwave lithotripsy (ESWL) in the endoscopic era? Urolithiasis 2022; 50:369-374. [PMID: 35122131 DOI: 10.1007/s00240-022-01307-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 01/18/2022] [Indexed: 10/19/2022]
Abstract
This retrospective study aimed to evaluate whether there was still a place for ESWL therapy in the endourological era. From 1988 to 2018, ESWL therapy was performed with 3 successive types of lithotripters in our hospital. From 1988 to 1998, the electrohydraulic lithotripter NS-15 was used, and the electromagnetic lithotripter HK-V was put to use in 1999. Since 2010, the electromagnetic lithotripter HK-Vm has been used. Over the 30-year period, 16,969 urolithiasis patients underwent ESWL therapy, including 124 paediatric cases and 178 special cases. The stone clearance rate (SCR) and postoperative complications in the 3 lithotripter groups were recorded and analysed. The SCR was estimated by ultrasonography or plain X-ray, while the complications were recorded by the modified Clavien grading system. The primary stone clearance rate (pSCR) of ureteral and renal stones was significantly improved in the HK-Vm group compared with the NS-15 and HK-V groups. The final stone clearance rate (fSCR) of lower calyx stones was considerably higher in the HK-Vm group (55.9%) than in the NS-15 (41.1%) and HK-V (44.1%) groups. Most complications were grade I and II, while the incidence of grade III and above complications was less than 3%. Additionally, the fSCR in paediatric and special cases ranged from 66.5% to 83.5%, with no record of severe complications. As our data showed, ESWL was effective and safe for most urolithiasis patients, including paediatric patients and special cases. Therefore, ESWL is still the major treatment option in the current endourological era.
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Molina GA, Moyon MA, Moyon FX, Tufiño JF, Guzmán LJ, Mecias RA, Cevallos JM, Serrano DS. Subcapsular liver hematoma after extracorporeal shock wave lithotripsy, a rare complication. J Surg Case Rep 2019; 2019:rjz114. [PMID: 30997015 PMCID: PMC6460960 DOI: 10.1093/jscr/rjz114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 03/19/2019] [Accepted: 04/01/2019] [Indexed: 11/18/2022] Open
Abstract
Extracorporeal shock wave lithotripsy (ESLW) is a common and relatively safe procedure, with a high success rate and low adverse effects. Complications of this procedure are usually limited to the kidneys and almost always resolve spontaneously. However, on rare occasions, a frightening complication, as a hematoma of a parenchymatous organ, such as the liver can appear. Abdominal pain is usually the only manifestation when a liver hematoma develops, and should always be investigated, as this dreaded complication can put the patient’s life at risk. Conservative treatment is usually the treatment of choice, nevertheless, on severe cases that do not respond to conservative measures, surgery or embolization is necessary. We report the case of a 38-year-old male who underwent ESWL, 12 h after the procedure he presented to the emergency room with severe abdominal pain, after complementary exams a liver hematoma was detected. Following conservative management, the patient fully recovered.
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Affiliation(s)
| | - Miguel A Moyon
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
| | - Fernando X Moyon
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
| | - Jorge F Tufiño
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
| | - Lenin J Guzmán
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
| | - R Alejandro Mecias
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
| | - Jaime M Cevallos
- Department of General Surgery Hospital San Francisco, IESS Quito, Ecuador
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Tsao TF, Liang KW, Huang HH, Tyan YS, Chao YH. Sonography of perinephric fluid collections: A pictorial essay. JOURNAL OF CLINICAL ULTRASOUND : JCU 2019; 47:150-160. [PMID: 30635920 DOI: 10.1002/jcu.22680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 10/11/2018] [Accepted: 10/29/2018] [Indexed: 06/09/2023]
Affiliation(s)
- Teng-Fu Tsao
- Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan
- Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
- Department of Medical Imaging, School of Medicine, Chung Shan Medical University, Taichung, Taiwan
| | - Keng-Wei Liang
- Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan
- Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
| | - Hsin-Hui Huang
- Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan
- Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
| | - Yeu-Sheng Tyan
- Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan
- Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan
| | - Yu-Hua Chao
- Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan
- Department of Pediatrics, School of Medicine, Chung Shan Medical University, Taichung, Taiwan
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Perinephric Hematoma with Active Arterial Hemorrhage following Extracorporeal Shockwave Lithotripsy. Case Rep Urol 2019; 2019:1547437. [PMID: 30723569 PMCID: PMC6339706 DOI: 10.1155/2019/1547437] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 12/27/2018] [Indexed: 11/27/2022] Open
Abstract
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 presented with acute onset right flank pain two hours following ESWL. CT scan with contrast revealed active contrast extravasation consistent with arterial bleeding. The patient was managed with arterial embolization and recovered uneventfully following a 4-day hospitalization.
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Messaoudi N, Sennour K, Daudon M, Omar ZK, Attar A, Addou A. Prediction of successful treatment by extracorporeal shock wave lithotripsy based on crystalluria-composition correlations of urinary calculi. ASIAN PACIFIC JOURNAL OF TROPICAL DISEASE 2015. [DOI: 10.1016/s2222-1808(15)60969-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Torbati SS, Niku M, Vos E, Hogan S. Renal rupture following extracorporeal shockwave lithotripsy. West J Emerg Med 2014; 15:706-7. [PMID: 25247048 PMCID: PMC4162734 DOI: 10.5811/westjem.2014.9.22547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Accepted: 06/09/2014] [Indexed: 11/11/2022] Open
Abstract
A 41-year-old woman presented to the emergency department with a chief complaint of hematuria three days status post extracorporeal shockwave lithotripsy. The patient described a three-day history of worsening left-sided abdominal pain immediately following the procedure. She denied any fever, chills, changes in bowel habits, hematochezia, increased urinary frequency, urinary urgency, or dysuria. Physical exam revealed tenderness to palpation in the left upper quadrant, left flank and periumbilical region with mild guarding. Laboratory studies revealed an anemic patient with downward trending hematocrit (red blood cell count of 3.41 106/μL, hemoglobin of 10.6 g/dL, and a hematocrit of 31.3% down from 43% a week and a half prior). Urinalysis revealed red and cloudy urine with 3+ leukocytes. A chest radiograph was unremarkable. A computed tomography of the chest, abdomen, and pelvis showed a laceration to the lateral aspect of the mid left kidney with a hematoma measuring 3.2 cm in thickness (Figure). The patient was subsequently admitted to the hospital for monitoring and discharged on day nine.
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Affiliation(s)
- Sam S Torbati
- Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California
| | - Michelle Niku
- Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California
| | - Elaine Vos
- Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California
| | - Shomari Hogan
- Cedars-Sinai Medical Center, Department of Emergency Medicine, Los Angeles, California
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Friedersdorff F, Buckendahl J, Fuller TF, Cash H. Extracorporeal shock wave lithotripsy (ESWL) of a renal calculus in a liver transplant recipient: report of a severe complication--a case report. Transplant Proc 2010; 42:3868-70. [PMID: 21094873 DOI: 10.1016/j.transproceed.2010.07.096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2010] [Accepted: 07/26/2010] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Extracorporeal shock wave lithotripsy (ESWL) has evolved as a standard treatment modality for calculi of the upper urinary tract. Noninvasive ESWL shows rare life-threatening complications. Herein we have reported the case of a liver transplant recipient who developed severe renal hemorrhage after ESWL of a renal calculus. Transfusion of erythrocytes and platelets led to anaphylactic shock with acute renal failure requiring intensive care. The patient fully recovered shortly thereafter and was discharged home with a residual left kidney stone measuring 8 mm. CASE PRESENTATION A 55-year-old man with a single left kidney underwent ESWL due to symptomatic left nephrolithiasis. He had undergone successful liver transplantation 11 years earlier. At the time of ESWL his liver functions were normal and his serum creatinine level was 1.3 mg/dL. Two weeks before the treatment a double pigtail ureteral stent was inserted because of a symptomatic left hydronephrosis. Several hours after ESWL treatment the patient complained of left-sided flank pain. An ultrasound revealed a large subcapsular hematoma of the left kidney, which was confirmed using abdominal computed tomography (CT). With the patient being hemodynamically stable, we opted for conservative management. Despite postinterventional complications, the patient made a fast recovery. CONCLUSION ESWL is a noninvasive, safe, and efficient method to treat renal calculi. Patients who are at risk for hemorrhage should undergo close postinterventional monitoring, including red blood cell count and renal ultrasound.
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Affiliation(s)
- F Friedersdorff
- Department of Urology, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin, Germany.
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