Life-Threatening Complication after Extracorporeal Shock Wave Lithotripsy for a Renal Stone: A Hepatic Subcapsular Hematoma

Kim, Tae-Beom; Park, Ho-Ki; Lee, Kwang-Yeom; Kim, Khae Hawn; Jung, Hae Do; Yoon, Sang-Jin

doi:10.4111/kju.2010.51.3.212

Cited by 22 publications

(22 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the urologic literature, multiple cases reports have described injuries to neighboring organ systems resulting either directly from parenchymal damage by dissipated shockwaves or indirectly from stone fragmentation following ESWL therapy for renal and ureteral stones [6][7][8][9]. Similar complications have resulted following pancreatic ESWL [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

Pancreatic Stone Extracorporeal Shockwave Lithotripsy-A New Concern for Urologists?

2018

ARC Journal of Urology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Pancreatic Stone Extracorporeal Shockwave Lithotripsy-A New Concern for Urologists?

2018

ARC Journal of Urology

View full text Add to dashboard Cite

“…Ancak uygulanmaya başladığı dönemden itibaren böbrek parankimi üzerine olumsuz etkileri tartışma konusu olmuştur ve gelişmekte olan böbrek üzerine etkilerinin uzun dönem sonuçları yeni yayınlanmaya başlanmıştır (5,8). Komşu organlarda meydana gelen doku hasarı da yine SWL kullanımının sorgulanmasına neden olmaktadır (9). Benzeri problemler PNL için de geçerlidir (10).…”

Section: Discussionunclassified

Short-term Results of Retrograde Intrarenal Surgery in the Management of Kidney Stones in Children: A Safe and Efficacious Procedure

Yürük¹,

Atar²,

Çakır³

et al. 2015

Haseki

View full text Add to dashboard Cite

ÖzetAmaç: Çocukluk çağı böbrek taşlarının tedavisinde retrograd intrarenal cerrahinin uygulanabilirliğinin gösterilmesi.Yöntemler: Kliniğimizde Aralık 2012-Şubat 2013 tarihleri arasında böbrek taşlarının tedavisi için retrograd intrarenal cerrahi uygulanan 14 hastanın bilgileri geriye dönük olarak incelendi. Tüm hastalarda işlem 7,5 Fr FlexX™ 2 fleksibl üreterorenoskop (Karl Storz GmbH & Co. KG, Tuttlingen, Germany) cihazı kullanılarak gerçekleştirildi. Hiçbir hastada üreteral akses kılıf kullanılmadı. Üretere giriş yapılamayan hastalarda pasif dilatasyon için 2 hafta süre ile çift j kateter takılarak işlem ertelendi. Taşlar lazer ile fragmante edildi ve iki milimetreden küçük fragmanlar kendiliğinden düşmesi için yerinde bırakıldı. Tüm hastalara işlem sonrası çift j kateter takıldı ve takiplerde üriner sistem ultrasonografisi ve direkt grafi kullanıldı. Bulgular: Ortalama hasta yaşı 7,5±2,47 (3-12 arası) yıldı. Hastalardan altısı kızdı ve altı hastada taş sağ taraftaydı. En büyük taş çapına göre ortalama taş boyutu 12,3±3,49 mm'ydi (8-20 arası). On hasta daha önce SWL tedavisi görmüştü. Ortalama operasyon süresi 33,5±6,9 (25-45) dakika, ortalama skopi süresi 45,3±15,4 (30-75 arası) saniyeydi. Hastanede kalış süresi 1,07±0,2 (1-2 arası) gündü. Hastaların hiçbirinde işlem esnasında komplikasyon gelişmedi. İşlem sonrası tüm hastalara çift j kateter takıldı ve iki hafta sonunda alındı. Tüm hastalarda taşsızlık sağlandı. Abs tractAim: To demonstrate the feasibility of retrograde intrarenal surgery (RIRS) in pediatric age group.Methods: Data of patients who underwent RIRS for the treatment of kidney stones were retrospectively analyzed. The procedure was performed using 7.5 Fr FlexX™ 2 flexible ureterorenoscope in all patients. Ureteral access sheath was not used in any patients. A double-j stent was inserted and the procedure was delayed for 2 weeks whenever access to the ureter was not possible. The stones were fragmented using laser and fragments smaller than 2 mm were left for spontaneous passage. Postoperative success was evaluated using ultrasonography and kidney, ureter and bladder (KUB) x-ray.Results: 14 patients with a mean age of 7.5±2.47 (range: 3-12) years were included. Male to female ratio was 8/6 and six patients had a stone on the right side. The mean stone size was 12. 3±3.49 (range: 8-20) mm. Of the patients, 10 had a history of unsuccessful shock wave lithotripsy (SWL) treatment. Mean operation and fluoroscopy screening times were 33.5±6.9 (range: 25-45) and 45.3±15.4 (range: 30-75) minutes, respectively. The median hospital stay was 1.07±0.2 (range: 1-2) days. No major complications were noticed during the operation. Double-J stents were removed on the 2 nd postoperative week and all patients were stone-free during the follow-up. Conclusion:RIRS can be performed safely and efficaciously in pediatric patients. (The Me di cal Bul le tin of Ha se ki 2015; 53:52-6)

show abstract

“…Major complications are rare and include renal injury with hematoma and sepsis [1]. Infected hematoma may need percutaneous drainage [2], which in our case was complicated with duodenal injury. To our knowledge, we present the first case report of a successful endoscopic management of a duodenal injury that occurred during the percutaneous drainage of infected hematoma in the lower pole of the right kidney.…”

Section: Introductionmentioning

confidence: 99%

Novel Approach for Endoscopic Management of Duodenal Injury during Perirenal Infected Haematoma Drainage after Shock-Wave Lithotripsy

Gadzhiev

Gorelov

Смирнов

et al. 2018

Case Reports in Urology

View full text Add to dashboard Cite

Background. Gaining percutaneous access during percutaneous nephrolithotomy (PNL) can be complicated with the bowel injury. We report a novel approach of management of duodenal injury complicating percutaneous drainage of infected haematoma after Shock-Wave Lithotripsy (SWL). Case Presentation. A 57-year-old patient with the 15 mm right pelvic kidney stone underwent uneventful SWL. Patient visited emergency department 3 days later with high fever and chills with severe right flank pain. CT urography revealed lower pole kidney injury with signs of infected hematoma due to low attenuation areas but without signs of obstruction or urine leakage. Infected haematoma was drained percutaneously under ultrasound and X-ray control and a pigtail catheter 10 Fr was left beneath the lower pole of the right kidney. Postoperatively duodenal injury was suspected due to amber color, low creatinine, and high bilirubin level in the drainage output. CT demonstrated that the pigtail of the drain had entered the second part of the duodenum. Catheter was withdrawn and defect of the duodenal wall was stapled with four staples endoscopically. After 2 days of fasting patient was allowed to start oral food intake and was discharged on the 5th day. Conclusion. Injury of the duodenum during percutaneous kidney manipulation is an extremely rare complication. Conservative management consisting of endoscopic stapling of the duodenal wall defect is a safe and feasible approach to expediting the recovery of the patient.

show abstract

Life-Threatening Complication after Extracorporeal Shock Wave Lithotripsy for a Renal Stone: A Hepatic Subcapsular Hematoma

Cited by 22 publications

References 8 publications

Pancreatic Stone Extracorporeal Shockwave Lithotripsy-A New Concern for Urologists?

Pancreatic Stone Extracorporeal Shockwave Lithotripsy-A New Concern for Urologists?

Short-term Results of Retrograde Intrarenal Surgery in the Management of Kidney Stones in Children: A Safe and Efficacious Procedure

Novel Approach for Endoscopic Management of Duodenal Injury during Perirenal Infected Haematoma Drainage after Shock-Wave Lithotripsy

Contact Info

Product

Resources

About