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

作者：Kim Hyeong Gon; Bae Sang Rak; Lho Yong Soo; Park Hyoung Keun; Paick Sung Hyun^*

来源：Urolithiasis, 2013, 41(3): 267-269.

DOI：10.1007/s00240-013-0550-2

• Urolithiasis
• High-energy shockwave
• Complications
• Polycystic kidney disease

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.

• 出版日期2013-6