Presentation
Patient underwent shock wave lithotripsy for left sided renal stone.
Patient Data
Fragmented left sided kidney stones. Left renal subcapsular hematoma with signs of parenchymal hypoperfusion and parenchymal compression. The acute vascular injury of SWL caused an extracapsular hematoma, too. Tissue injury as a result of shock waves caused discontinuity of Gerota's fascia and peri/pararenal hematoma. Anterior displacement of the pancreas tail.
There is also free perisplenic fluid. Free fluid along the lateroconal fascia and in the left iliac fossa, too. Left pleural effusion.
Case Discussion
Experimental reports clearly show that shock wave lithotripsy (SWL) causes adverse acute renal effects in a majority, if not all, treated kidneys. SWL-induced acute renal injury may result in severe injury to the nephron, microvasculature, and the surrounding interstitium.
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