[Damage to the renal peduncle vessels in extracorporeal lithotripsy].
The authors report a case of massive hemorrhage from the vessels of the renal peduncle in a 68-year-old male patient with nephroureterolithiasis after one session of ESWL. Urgent nephrectomy was made. Histologically, there were sclerotic-distrophic changes of the vascular peduncle of the left kidney induced by long-term obstruction of the ureter with the calculus and extravasation of the urine into the renal sinus. This ESWL complication may take place in elderly patients with long-term ureteral obstruction with the stone. In such cases ESWL should be carried out only in hospital.
Solomakhin
S L
SL
Oleksiuk
I I
II
Muzhichenko
A M
AM
Gusev
E V
EV
D000368:Aged; D001808:Blood Vessels / Q000293:injuries*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007668:Kidney / Q000098:blood supply*; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male