Irreversible acute renal failure after bilateral extracorporeal shock wave lithotripsy.
A 75 year-old man underwent double extracorporeal shock wave lithotripsy (ESWL) for bilateral nephrolithiasis. After the first treatment, serum creatinine rose to 247.52 mcmol/L. After the second treatment the patient presented persistent gross hematuria and, a few weeks later, oliguric renal failure; serum creatinine rose to 884 mcmol/L. Diagnostic evaluation with ultrasound revealed no obstructive complications, and no subcapsular or perirenal hematoma. The patient started chronic hemodialysis.
Treglia
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Divisione di Nefrologia e Dialisi, Presidio Ospedaliero di Formia, ASL, Latina, Italy.
Moscoloni
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D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000368:Aged; D003404:Creatinine / Q000097:blood; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D014463:Ultrasonography
D003404:Creatinine