scholarly journals Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Luís Magalhães ◽  
Ramon Nogué
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Point Of Care ◽  
Bedside Ultrasound ◽  
Lumbar Pain ◽  
Point Of Care Ultrasound ◽  
Case Presentation ◽  
Extracorporeal Shock Wave ◽  
The Right

Abstract Background Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases. Case presentation A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Bedside ultrasound showed a hyperechoic subcapsular lesion along the right kidney. This finding, along with the clinical examination, suggested the diagnosis of subcapsular renal hematoma. The patient was managed conservatively with clinical and ultrasound reassessments. Conclusions This case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis.

scholarly journals Outcome of extracorporeal shock wave lithotripsy in the treatment of mid ureteric stones

2014 ◽  
Vol 43 (2) ◽  
pp. 72-78
Author(s):  
Mohammed Mizanur Rahman ◽  
Isteaq Ahmed Shamim ◽  
Uttom Kormokar ◽  
Shafiqul Alam Chowdhury ◽  
Sudip Das Gupta
Keyword(s):  
Shock Wave ◽  
Extracorporeal Shock Wave Lithotripsy ◽  
Shock Wave Lithotripsy ◽  
Urinary Stone ◽  
Stone Disease ◽  
Ureteric Stone ◽  
Stone Clearance ◽  
First Line Therapy ◽  
Extracorporeal Shock Wave ◽  
The Right

Urinary stone disease is a major problem due to its high prevalence and incidence and recurrence. The present study aimed to determine the outcome of in situ Extracorporeal Shock-Wave Lithotripsy (ESWL) for mid-ureteric stone in terms of stone clearance, per operative and post operative complications involving 30 patients with mid ureteric stone with less than 10 mm in diameter in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka between September 2011 and August 2012. Seventeen (56.7%) patients had stone in the right ureter and 13(43.3%) had stone in the left ureter. Mean of stone size was 8.07 mm with a range of 6-10 mm. Most of the patients (96.7%) had post procedure pain, 15(50.0%) had haematuria and 9(30.0%) had fever. Final outcome of treatment showed that complete stone clearance was seen in 83.3% patients after one month. Mid ureteric stone clearance with ESWL was more than eighty percent with a very low rate of complications. ESWL may be recommended as safe and first line therapy for mid ureteric stones. DOI: http://dx.doi.org/10.3329/bmj.v43i2.21386 Bangladesh Med J. 2014 May; 43 (2): 72-78

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