Reversible acute renal failure after unilateral extracorporeal shock-wave lithotripsy.
Extracorporeal shock-wave lithotripsy (ESWL) is the treatment of choice for the majority of patients with renal or proximal ureteral stones. We describe an unusual case of anuric renal failure following ESWL, in absence of obstruction or myoglobinuria, in the presence of unilateral nephrolithiasis and two normally functioning kidneys. A mechanism for this patient's acute renal failure (ARF) is postulated. Although the frequency of ARF after ESWL is extremely rare and the mechanism responsible for ARF is not understood, the appearance of ARF, when ureteral obstruction or hematoma are absent, should be included among complications following EWSL. Attention should be paid to older patients.
Liguori
Giovanni
G
Dept. of Urology and Nephrology, University of Trieste, Trieste, Italy. Gioliguori@libero.it
Trombetta
Carlo
C
Bucci
Stefano
S
Salamè
Leonardo
L
Savoldi
Silvana
S
Belgrano
Emanuele
E
D058186:Acute Kidney Injury / Q000209:etiology*; D000368:Aged; D001002:Anuria / Q000209:etiology; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D020127:Recovery of Function; D018615:Ultrasonography, Doppler, Color