Acute cyst rupture, hemorrhage and septic shock after a shockwave lithotripsy in a patient with autosomal dominant polycystic kidney disease.

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.

• Authors: Hyeong Gon Kim, Sang Rak Bae, Yong Soo Lho, Hyoung Keun Park, Sung Hyun Paick
• Journal: Urolithiasis (Urolithiasis) Vol. 41 Issue 3 Pg. 267-9 (Jun 2013) ISSN: 2194-7236 [Electronic] Germany
• PMID: 23456211 (Publication Type: Case Reports, Letter)

Topics

• Acute Kidney Injury (etiology, pathology, surgery)
• Adult
• Female
• Hemorrhage (etiology, pathology, surgery)
• Humans
• Lithotripsy (adverse effects, methods)
• Nephrectomy
• Polycystic Kidney, Autosomal Dominant (complications, therapy)
• Rupture (etiology)
• Shock, Septic (etiology)
• Ureteral Calculi (etiology, therapy)