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- Title
Acute cyst rupture, hemorrhage and septic shock after a shockwave lithotripsy in a patient with autosomal dominant polycystic kidney disease.
- Authors
Kim, Hyeong; Bae, Sang; Lho, Yong; Park, Hyoung; Paick, Sung
- 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.
- Subjects
POLYCYSTIC kidney disease; CYSTS (Pathology); HEMORRHAGE; LITHOTRIPSY; SHOCK waves; PATIENTS
- Publication
Urolithiasis, 2013, Vol 41, Issue 3, p267
- ISSN
2194-7228
- Publication type
Letter
- DOI
10.1007/s00240-013-0550-2