title: Lung contusion and cavitation with exudative plural effusion following extracorporeal shock wave lithotripsy in an adult: a case report.
abstract: BACKGROUND
  Among the complications of extracorporeal shock wave lithotripsy are perinephric bleeding and hypertension.
  
  
  METHODS
  We describe the case of a 31-year-old Asian man with an unusual case of hemoptysis and lung contusion and cavitation with exudative plural effusion due to pulmonary trauma following false positioning of extracorporeal shock wave lithotripsy. Differential diagnoses included pneumonia and pulmonary emboli, but these diagnoses were ruled out by the uniformly negative results of a lung perfusion scan, Doppler ultrasound, and culture of bronchoalveolar lavage and plural effusion, and because our patient showed spontaneous improvement.
  
  
  CONCLUSIONS
  False positioning of extracorporeal shock wave lithotripsy can cause lung trauma presenting as pulmonary contusion and cavitation with plural effusion.
authors.affiliation: Nephrology Department, Sadoughi Medical University, Yazd, Iran. dr_nori_majelan@yahoo.com.
authors.forename: Nader
authors.initials: N
authors.lastname: Nouri-Majalan
authors.forename: Roghayyeh
authors.initials: R
authors.lastname: Masoumi
authors.forename: Abolhasan
authors.initials: A
authors.lastname: Halvani
authors.forename: Sara
authors.initials: S
authors.lastname: Moghaddasi
references.citation: Ultrasound Med Biol. 1993;19(2):127-35
references.pmid: 8516959
references.citation: JAMA. 1990 Apr 4;263(13):1789-94
references.pmid: 2313851
references.citation: Chin J Traumatol. 2001 Feb;4(1):37-9
references.pmid: 11835707
references.citation: J Clin Anesth. 2003 Nov;15(7):530-3
references.pmid: 14698366
references.citation: J Urol. 2004 Dec;172(6 Pt 1):2271-4
references.pmid: 15538247
references.citation: J Urol. 1987 Oct;138(4):839-41
references.pmid: 3656542
references.citation: Anesthesiology. 1991 Sep;75(3):529-31
references.pmid: 1888060
references.citation: Can J Anaesth. 1993 May;40(5 Pt 1):465-7
references.pmid: 8513528
references.citation: Anesth Analg. 1989 Oct;69(4):526-8
references.pmid: 2782654
references.citation: Arch Esp Urol. 2002 Oct;55(8):943-6
references.pmid: 12455285