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      Extracorporeal shock wave lithotripsy-induced renal blunt trauma in young adult patient: A case report

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          Abstract

          Extracorporeal Shock Wave Lithotripsy (ESWL) is an option in the management of urolithiasis. Despite its significant benefits, it has an undesirable outcome such as renal trauma. We report a case of a 38-year-old male with iatrogenic left kidney blunt trauma (AAST Grade IV-V) due to left ESWL, presented initially with unstable hemodynamic and successfully managed conservatively.

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          Optimisation of shock wave lithotripsy: a systematic review of technical aspects to improve outcomes

          Su-Min Lee, Neil Collin, Helen WISEMAN … (2019)
          Shock wave lithotripsy (SWL) remains an important treatment option for the management of upper urinary tract stones. The optimisation of certain technical principles can help to improve the results of SWL. We performed a systematic review based on preferred reporting items for systematic review and meta-analysis (PRISMA) standards for studies reporting on technical aspects of SWL. A literature search was conducted on the PubMed database between January 1984 and November 2018 using ‘shockwave lithotripsy’ and ‘stone’ as keywords. Summaries and manuscripts of relevant articles were reviewed in order to select studies with the best level of evidence in each theme covered during the review. From 4,135 titles, 165 abstracts and full-text articles were reviewed. Overall, SWL has good outcomes in the treatment of upper urinary tract stones. It remains the only truly non-invasive stone treatment. While stone-free rate (SFR) might not be equivalent to ureteroscopy or percutaneous nephrolithotomy outcomes, SWL can be optimised by changing several technical factors, including type of machine, patient position, number, rate and energy of shocks, stone targeting, and patient analgesia. For each of these included SWL themes, relevant and selected studies with the highest level of evidence were described and discussed. Paired with these improved technical factors and appropriate patient selection, SWL, with its low complication rates, remains an excellent treatment option in 2019.
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            Evaluation and physiopathology of minor transient shock wave lithotripsy – induced renal injury based on urinary biomarkers levels

            Mateusz Dzięgała, Wojciech Krajewski, Anna Kołodziej … (2018)
            Introduction Extracorporeal shock wave lithotripsy (ESWL) is one of the most useful methods available for the treatment of urolithiasis. However, despite its significant benefits, adverse effects can occur. Oxidative stress mediated by ischemia-reperfusion might contribute to kidney injury after ESWL. Moreover, an acute kidney injury (AKI) may develop. AKI is typically diagnosed by measuring serum creatinine level, yet serum creatinine does not allow for early detection of sub-clinical AKI. The latest report has investigated multiple ways to determine ESWL – induced renal damage through the evaluation of various urine biomarkers of renal injury. Materials and methods The Medline and Web of Science databases were searched without a time limit in November 2017 using the terms ‘ESWL’ in conjunction with ‘kidney failure’, ‘kidney damage’, ‘renal injury’ and ‘inflammation markers’, ’biomarkers’. Boolean operators (NOT, AND, OR) were also used in succession to narrow and broaden the search. In this review, we described all the up-to-date reported urine markers of ESWL-induced renal damage. Results In recent years, several studies demonstrated evaluation of ESWL – induced renal injury based on urinary biomarkers levels and its utility in clinical practice. They have a beneficial role in the early detection of AKI, as well as in observation of a transition of this acute illness into chronic kidney disease. Conclusions Different markers have been evaluated in the urine before and after the ESWL treatment, but their number is still limited and results remain inconclusive. Further investigations are mandatory.
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              Laparotomy for duodenal obstruction, caused by a renal haematoma after extracorporeal shockwave lithotripsy

              R Saunders (2020)
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                Author and article information

                Contributors
                Ida Bagus Gde Ananta Mahesvara
                Journal
                Journal ID (nlm-ta): Urol Case Rep
                Journal ID (iso-abbrev): Urol Case Rep
                Title: Urology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2214-4420
                Publication date PMC-release: 26 October 2023
                Publication date Collection: November 2023
                Publication date (Electronic): 26 October 2023
                Volume: 51
                Electronic Location Identifier: 102592
                Affiliations
                [1]Wangaya General Hospital, Denpasar, Bali, Indonesia
                Author notes
                [∗ ]Corresponding author. ibgam21@ 123456gmail.com
                Article
                Publisher Item ID: S2214-4420(23)00278-4 Publisher ID: 102592
                DOI: 10.1016/j.eucr.2023.102592
                PMC ID: 10663727
                SO-VID: d0de426b-33e3-4d25-afa0-77da71c5344f
                Copyright © © 2023 Published by Elsevier Inc.
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 10 August 2023
                Date revision received : 29 September 2023
                Date accepted : 13 October 2023
                Categories
                Subject: Trauma and Reconstruction

                Keywords: renal trauma,eswl,urolithiasis,treatment
                Data availability:
                Keywords: renal trauma, eswl, urolithiasis, treatment

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