Jeon Byung Han, Jang Jong Ha, Oh Je Hyeok, Oh Seung Young, Lee Sang Jin, Kim Sung Eun, Kim Chan Woong, Choe Ju Won, Lee Kwang Jung
Department of Emergency Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.
J Emerg Med. 2009 Jul;37(1):13-4. doi: 10.1016/j.jemermed.2008.07.020. Epub 2008 Dec 20.
Complications of extracorporeal shockwave lithotripsy (ESWL) occur in a small number of patients, although serious injury is rare.
To report the serious complication of kidney rupture during ESWL.
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.
Although it is rare, patients may present with kidney rupture or hypotension after ESWL.
体外冲击波碎石术（ESWL）的并发症在少数患者中出现，尽管严重损伤很少见。
报告ESWL期间发生肾破裂的严重并发症。
一名65岁男性因右侧腰痛被转诊至急诊科（ED）。他在2天前于一家地区医院接受了右侧肾结石的ESWL治疗。ESWL后立即出现腰痛，且未自行缓解。地区医院进行的计算机断层扫描显示右侧肾周广泛血肿。当患者到达ED时，其生命体征不稳定，但通过液体复苏和输血得以稳定。由于多普勒超声检查未发现活动性出血的证据，选择了不进行肾切除术的保守治疗。他在住院第31天顺利出院，无进一步并发症。
尽管罕见，但患者在ESWL后可能出现肾破裂或低血压。
