Kidney rupture after extracorporeal shockwave lithotripsy: report of a case.
BACKGROUND
Complications of extracorporeal shockwave lithotripsy (ESWL) occur in a small number of patients, although serious injury is rare.


OBJECTIVE
To report the serious complication of kidney rupture during ESWL.


METHODS
A 65-year-old man was transferred to the Emergency Department (ED) with right flank pain. He had undergone ESWL for the right renal stone at a regional hospital 2 days earlier. Flank pain developed immediately after ESWL and was not spontaneously relieved. Computed tomography scan performed at the regional hospital showed an extensive right perinephric hematoma. When the patient arrived at the ED, his vital signs were unstable but were stabilized with fluid resuscitation and transfusion. Conservative care with no nephrectomy was chosen because there was no evidence of active bleeding on Doppler ultrasound examination. He was uneventfully discharged on the 31st hospital day without further complications.


CONCLUSIONS
Although it is rare, patients may present with kidney rupture or hypotension after ESWL.
Jeon
Byung Han
BH
Department of Emergency Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.
Jang
Jong Ha
JH
Oh
Je Hyeok
JH
Oh
Seung Young
SY
Lee
Sang Jin
SJ
Kim
Sung Eun
SE
Kim
Chan Woong
CW
Choe
Ju Won
JW
Lee
Kwang Jung
KJ
D000368:Aged; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries*; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography