Acute cyst rupture, hemorrhage and septic shock after a shockwave lithotripsy in a patient with autosomal dominant polycystic kidney disease
Tóm tắt
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.
Tài liệu tham khảo
Delakas D, Daskalopoulos G, Cranidis A (1997) Extracorporeal shockwave lithotripsy for urinary calculi in autosomal dominant polycystic kidney disease. J Endourol 11:167–170
Gibson P, Watson ML (1998) Cyst infection in polycystic kidney disease: a clinical challenge. Nephrol Dial Transplant 13:2455–2457
Schwab SJ, Bander SJ, Klahr S (1987) Renal infection in autosomal dominant polycystic kidney disease. Am J Med 82:714–718
McLaughlin AP 3rd, Pfister RC (1975) Spontaneous rupture of renal cysts into the pyelocaliceal system. J Urol 113:2–7
Hughes CR, Stewart PF Jr, Breckenridge JW (1995) Renal cyst rupture following blunt abdominal trauma: case report. J Trauma 38:28–29
Rauschmeier H, Jakse G (1983) Traumatic rupture of renal cyst into the retroperitoneum and the pyelocalyceal system. Int Urol Nephrol 15:117–119
Fernandez Fernandez A, Mayayo Dehesa T, Rodriguez Luna JM, Platas Sancho A, Gomez Aguinaga MA, Castano Llaneza C, Berenguer Sanchez A (1989) Rupture of simple renal cyst after minimal renal injury. Actas Urol Esp 13:65–68
Wilbert DM, Heinz A, Jocham D, Eisenberger F, Chaussy C (1997) Complications with portable ESWL—a multicenter study. Urologe A 36:217–221
Evan AP, Willis LR, Lingeman JE, McAteer JA (1998) Renal trauma and the risk of long-term complications in shock wave lithotripsy. Nephron 78:1–8
Emmerson M (1998) A microbiologist’s view of factors contributing to infection. New Horiz 6:S3–S10
Burke DS, Madoff S (1978) Infection of a traumatic pelvic hematoma with Mycoplasma hominis. Sex Transm Dis 5:65–67
Cheung EV, Sperling JW, Cofield RH (2008) Infection associated with hematoma formation after shoulder arthroplasty. Clin Orthop Relat Res 466:1363–1367
Cuschieri J, Kralovich KA, Patton JH, Horst HM, Obeid FN, Karmy-Jones R (1999) Anterior mediastinal abscess after closed sternal fracture. J Trauma 47:551–554
Husmann DA, Gilling PJ, Perry MO, Morris JS, Boone TB (1993) Major renal lacerations with a devitalized fragment following blunt abdominal trauma: a comparison between nonoperative (expectant) versus surgical management. J Urol 150:1774–1777