title: Acute cyst rupture, hemorrhage and septic shock after a shockwave lithotripsy in a patient with autosomal dominant polycystic kidney disease.
abstract: The incidence of urinary calculi in autosomal dominant polycystic kidney disease (ADPKD) ranges from 10 to 36 %. Shockwave lithotripsy (SWL) for urinary calculi in ADPKD was reported to be a safe and effective treatment option. However, there is a potential risk of cyst rupture and traumatic hemorrhage because of shockwaves. A 39-year-old female with polycystic kidneys and upper ureter stone was treated with SWL and developed life-threatening complications of cyst rupture, traumatic hemorrhage and septic shock. She was initially treated with supportive care in the intensive care unit, but in the end nephrectomy was performed.
authors: Hyeong Gon
authors: HG
authors: Kim
authors: Sang Rak
authors: SR
authors: Bae
authors: Yong Soo
authors: YS
authors: Lho
authors: Hyoung Keun
authors: HK
authors: Park
authors: Sung Hyun
authors: SH
authors: Paick
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000473:pathology / Q000601:surgery; D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects* / Q000379:methods; D009392:Nephrectomy; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000628:therapy*; D012421:Rupture / Q000209:etiology; D012772:Shock, Septic / Q000209:etiology*; D014514:Ureteral Calculi / Q000209:etiology / Q000628:therapy*