SWL literature
Slider

Nomikos M. et al., 2019: Retroperitoneal Abscess Formation Extending to the Lumbar Area After Extracorporeal Shock Wave Lithotripsy

Nomikos M, Tsalavoutas A, Kalpaxi A, Athanasopoulos G.
Department of Urology, Thriassion General Hospital, Athens, Greece.
Department of Radiology, Thriassion General Hospital, Athens, Greece.

Abstract

Background: Renal rupture and retroperitoneal abscess formation after extracorporeal shock wave lithotripsy (SWL) is a rare and potentially life-threatening complication if left untreated with a high morbidity rate. In this study, we present a rare case of renal rupture after SWL, with formation of an extensive retroperitoneal abscess extending to the left abdominal and lumbar area. Case Presentation: A 48-year-old Caucasian woman presented to the outpatient department with left abdominal and lumbar redness and swelling caused by renal rupture and massive perinephric abscess formation, 10 days after SWL treatment of her left renal pelvic stones. She was treated first with drainage of the retroperitoneal abscess and simultaneous Double-J stent placement in her left kidney. A left open nephrectomy was subsequently performed because of persistence of kidney infection. Conclusion: Retroperitoneal abscess formation after SWL is a serious and highly morbid complication, which should be early diagnosed and timely treated.
J Endourol Case Rep. 2018 Dec 21;4(1):206-208. doi: 10.1089/cren.2018.0072. eCollection 2018.

 

0
 

Comments 1

Peter Alken on Friday, 12 July 2019 09:14

What could have been done different? A look at the CT-images at admission and 4 days later showed that the 7 Fr. Double-J stent did not sufficiently drain the collecting system. The percutaneous nephrostomy on the 5th day came too late and might have been the better primary Option.

What could have been done different? A look at the CT-images at admission and 4 days later showed that the 7 Fr. Double-J stent did not sufficiently drain the collecting system. The percutaneous nephrostomy on the 5th day came too late and might have been the better primary Option.
Guest
Tuesday, 19 November 2019
STORZ MEDICAL AG
Lohstampfestrasse 8
8274 Tägerwilen
Switzerland
Tel.: +41 (0)71 677 45 45
Fax: +41 (0)71 677 45 05

www.storzmedical.com