Nouri-Majalan Nader, Masoumi Roghayyeh, Halvani Abolhasan, Moghaddasi Sara
Nephrology Department, Sadoughi Medical University, Yazd, Iran.
J Med Case Rep. 2010 Aug 31;4:293. doi: 10.1186/1752-1947-4-293.
Among the complications of extracorporeal shock wave lithotripsy are perinephric bleeding and hypertension.
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.
False positioning of extracorporeal shock wave lithotripsy can cause lung trauma presenting as pulmonary contusion and cavitation with plural effusion.
体外冲击波碎石术的并发症包括肾周出血和高血压。
我们描述了一名31岁亚洲男性的病例，该患者因体外冲击波碎石术定位错误导致肺部创伤，出现了咯血、肺挫伤、空洞形成及渗出性胸腔积液等不寻常情况。鉴别诊断包括肺炎和肺栓塞，但肺部灌注扫描、多普勒超声、支气管肺泡灌洗及胸腔积液培养结果均为阴性，且患者症状自行改善，从而排除了这些诊断。
体外冲击波碎石术定位错误可导致肺部创伤，表现为肺挫伤、空洞形成及胸腔积液。
