[An unusual complication of extracorporeal shock wave lithotripsy: rupture of the kidney with consecutive nephrectomy].
[An unusual complication of extracorporeal shock wave lithotripsy: rupture of the kidney with consecutive nephrectomy].
复制标题
[体外冲击波碎石术的罕见并发症：连续肾切除导致肾脏破裂]。
DOI：
10.1055/s-2004-818447
复制
发表时间：
2004
影响因子：
0.3
通讯作者：
Bernd Hoschke
中科院分区：
文献类型：
--
作者：
Matthias May;Sven Gunia;C. Helke;M. Seehafer;Bernd Hoschke
引言
体外冲击波碎石术(ESWL)在尿路结石的治疗中发挥着重要作用。其成功率高，与治疗相关的发病率和发病率低。
病例报告
一位66岁男性患者因左肾有一8毫米中等大小的结石而接受ESWL治疗。在随后的介入后阶段，他经历了持续性的腰部疼痛、大量血尿和长期的血流动力学不稳定。急性CT扫描显示肾脏大面积破裂。左肾急诊腰椎探查发现肾实质有多处撕裂伤，行肾切除术。
结论
这是第二个国际报道的病例研究，在ESWL治疗后，由于肾脏的多处破裂，需要行肾切除术。鉴于ESWL在门诊护理中的使用越来越多，认识到这一潜在的并发症并适当评估其临床方面是很重要的。报告的结论包括对体外冲击波碎石术后立即发生的最严重并发症的简要回顾。
INTRODUCTION
Extracorporeal shockwave lithotripsy (ESWL) plays a major role in the treatment of urolithiasis. It has a high success rate, and spectrum and incidence of treatment-related morbidity are low.
CASE REPORT
A 66-year-old male patient underwent ESWL treatment for an 8 mm medium-sized stone in the left kidney. During the subsequent post-interventional phase he experienced persistent flank pain, macrohematuria and protracted hemodynamic instability. An acute CT scan displayed a massive kidney rupture. Emergency lumbar exploration of the left kidney revealed multiple lacerations in the renal parenchyma and a nephrectomy was carried out.
CONCLUSION
This is the second internationally reported case study in which nephrectomy was necessitated after ESWL treatment due to multiple ruptures of the kidney. In view of the increasing use of ESWL in outpatient care, it is important that this potential complication is recognized and its clinical aspects appropriately assessed. The conclusion of the report comprises a concise review of the most severe complications in the immediate period after ESWL.