Alvarado-García R, Mundo-Alegría AX

Language: Spanish
References: 21
Page: 95-101
PDF size: 138.44 Kb.

ABSTRACT

Extracorporeal shock wave lithotripsy is an effective procedure for the treatment of renal and ureteral lithiasis. In pediatrics has become widely accepted by the facility of the procedure, availability of lithotripters and faster discharge from hospital. However, complications in pediatric patients can vary from symptomatic (pain) to a compromise renal function. We present a case of a 15 year old female adolescent with bilateral renal lithiasis which underwent for extracorporeal shock wave lithotripsy session which was complicated by a left renal hematoma, confirmed by renal ultrasonography and computerized tomography scan. Conservative management was established and the hematoma became stabilized. The patient developed hypertension and glomerular filtration rate was decreased on the ipsilateral kidney four weeks after the procedure which had spontaneous resolution. Pediatric extracorporeal shock wave lithotripsy is an effective procedure for the treatment of renal and ureteral calculi; its advantages are easiness, speed and accessibility. A renal hematoma as a complication occurs in less than 1%. Patient monitoring and follow-up identified timely this complication.

REFERENCES

1. Chaussy C, Schuller J, Schmiedt E, Brandl H, Jocham D, Liebl B. Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology. 1984;23:59-66.

2. Newman DM, Coury T, Lingeman JE, et al. Extracorporeal shock wave lithotripsy in children. J Urol. 1986;136:238-40.

3. Lottman H, Archambault F, Traxer O, Mercier Pageyral B, Hellal B. The efficacy and parenchymal consequences of extracorporeal shock wave lithotripsy in infant. Br J Urol. 2000;85:311-5.

4. Ruiz Marcellan FJ. Litotripsia extracorpórea por ondas de choque. En: Actualización en el diagnóstico y tratamiento de la litiasis urinaria. 5º Seminario de formación continuada en urología. Madrid: Ed. Ergon; 2000. p. 19-30.

5. D’Adessi A, Bongovianni L, Sasso F, Gulino G, Falabella R, Bassi P. Extracorporeal shockwave lithotripsy in pediatrics. A safe procedure? J Endourol. 2008;22(1):1-11.

6. Al Basaidy SS, Prem AR, Medhat M, Giriraj D, Gopakumar P, Bhat HS. Pediatric ureteric calculi: efficacy of primary in situ extracorporeal shock wave lithotripsy. Br J Urol. 1998;82:90-6.

7. Medina-Escobedo M, Zaidi M, Real-de León D, Orozco- Rivadeneyra S. Urolithiasis prevalence and risk factors in Yucatán, Mexico. Salud Pub Mex. 2002;541:545.

8. Kroovand RL. Pediatric urolithiasis. Urol Clin North Am. 1997;24:173-84.

9. Shultz-Lampel D, Lampel A. The surgical management of stones in children. BJY Inter. 2001;87:732-40.

10. Basaklar AC, Kalen N. Experience with childhood urolithiasis, report of 196 cases. Br J Urol. 1991;67:203-5.

11. Torrecilla-Ortíz C, Matías-López JJ, Contreras-García J, Aguiló-Lució F, Capms-Lloveras N, Riera-Canals L. Hematomas renales tras litotripsia extracorpórea por ondas de choque. Actas Perol Esp. 1977;21(8):752-57.

12. Zhong P, Preminger G. Physics of shock-wave lithotripsy. EN: Kidney stons. medical and surgical management. Coe F, Favus M, Pak C, Parks J, Preminger G. Editores. Filadelfia: Lippincott-Raven Publishers; 1996. p. 530-1.

13. Reina RM, Sánchez-de la Vega J, Martínez RR, Blasco HP, García PM. Litotripsia extracorpórea por ondas de choque. Un tratamiento establecido. Actas Urol Esp. 2002;26(9):636-49.

14. Skolarikos A, Alivizatos G, De la Rosette J. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol. 2006;50(5):981-90.

15. Bhatta DN, Thornton J, Karafa MT, Streem SB. A multivariate analysis of risk factors associated with subcapsulas hematoma formation following electromagnetic shock wave lithotripsy. J Urol. 2004;172:2271-74.

16. Collado SA, Huguet PJ, Monreal GF, Rousaud BA, Izquierdo TF, Vicente RJ. Renal hematoma as a complication of extracorporeal shock wave lithotripsy. Scand J Urol Nephrol. 1999;33(3):171-5.

17. Rubin JI, Arger PH, Pollack HM, Banner MP. Kidney changes after estracorporeal shock wave lithotripsy: CT evaluation. Radiology. 1987;162:21-9.

18. Pastor NP, Carrion LP, Martínez RJ, Pastor GJM, Martínez MM, Vsrseda RJA. Hematomas renales tras litotripsia extracorpórea por ondas de choque (LEOCH). Actas Urol Esp. 2009;33(3):296-303.

19. Gallego SJA, Ibarlucea GG, Gamarra QM, Guisasola J, Bernuy MC. Renal hematomas alter extracorporeal lithotripsy with the lithotriptor “lithostar multicine de Siemens”. Actas Urol Esp. 2000;24(1):19-22.

20. Gram CW, Lynch SC, Muskat PC, Mokulis JA. Laparoscopic evacuation of a subcapsular renal hematoma causing symptomatic hypertension. J Endourol. 1998:12(6):551-3.

21. Jang YB, Kang KP, Lee S, Kim YG, et al. Treatment of subcapsular hematoma, a complication of extracorporeal shock wave lithotripsy, by percutaneous drainage. Nephrol Dial Transplant. 2006;21(4):1117-8.