DOI QR코드

DOI QR Code

A Case Report of Acute Kidney Injury after Extracorporeal Shockwave Lithotripsy

체외충격파 쇄석술 이후 발생한 급성신손상 1예

  • Ye, Jea-Ho (Division of Nephrology and Hypertension, Department of Internal Medicine, Inha University School of Medicine) ;
  • Han, Ju-Young (Division of Nephrology and Hypertension, Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Moon-Jae (Division of Nephrology and Hypertension, Department of Internal Medicine, Inha University School of Medicine)
  • 예재호 (인하대학교 의학전문대학원 내과학교실 신장내과) ;
  • 한주영 (인하대학교 의학전문대학원 내과학교실 신장내과) ;
  • 김문재 (인하대학교 의학전문대학원 내과학교실 신장내과)
  • Published : 2012.05.01

Abstract

We report a case of acute kidney injury following extracorporeal shock wave lithotripsy. A 41-year-old man with diabetes mellitus had suffered from urinary difficulty after several treatments of ESWL, bilaterally. It was suspected that fragments of renal stones had caused an obstructive nephropathy with bilateral hydronephrosis. Fortunately, even without renal replacement therapy, renal function gradually returned.

양측 신결석에 대한 체외충격파쇄석술 이후 발생한 신후성 급성 신손상에 대하여 보존적 치료로 호전된 예를 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

  1. Krysiewicz S. Complications of renal extracorporeal shock wave lithotripsy reviewed. Urol Radiol 1992;13:139-145.
  2. Chaussy C, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet 1980;2:1265-1268.
  3. Kleinknecht D, Pallot JL, Chauveau P. Bilateral acute tubular necrosis after unilateral extracorporeal shock-wave lithotripsy. Nephron 1994;66:360-361. https://doi.org/10.1159/000187840
  4. Newman LH, Saltzman B. Identifying risk factors in development of clinically significant post-shock-wave lithotripsy subcapsular hematomas. Urology 1991;38:35-38. https://doi.org/10.1016/0090-4295(91)80009-V
  5. Tuteja AK, Pulliam JP, Lehman TH, Elzinga LW. Anuric renal failure from massive bilateral renal hematoma following extracorporeal shock wave lithotripsy. Urology 1997;50:606-608. https://doi.org/10.1016/S0090-4295(97)00313-0
  6. Perry KT, Smith ND, Weiser AC, User HM, Kundu SD, Nadler RB. The efficacy and safety of synchronous bilateral extracorporeal shock wave lithotripsy. J Urol 2000;164(3 Pt 1):644-647. https://doi.org/10.1016/S0022-5347(05)67271-0
  7. Garcia Cardoso JV, Gonzalez Enguita C, Rodriguez Minon Cifuentes JL, Cabrera Perez J, Calahorra Fernandez FJ, Vela Navarrete R. Current indications of percutaneous nephrostomy associated with extracorporeal shock wave lithotripsy in the treatment of renoureteral stones. Arch Esp Urol 2004;57:725-729.