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A Novel In Vitro Model of Blast Traumatic Brain Injury

A Novel In Vitro Model of Blast Traumatic Brain Injury

Published on: December 21, 2018

Splenic rupture following shock wave lithotripsy.

Wesley M White¹, Steven A Morris, Frederick A Klein

¹Division of Urologic Surgery, Section of Minimally Invasive Surgery and Endourology, University of Tennessee, Knoxville, TN 37920, USA.

The Canadian Journal of Urology

|August 19, 2008

Summary

A rare case of splenic rupture occurred after extracorporeal shock wave lithotripsy (ESWL) for a ureteropelvic junction stone. This highlights potential visceral injury risks associated with ESWL, even with modern electromagnetic lithotripters.

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Area of Science:

Urology
Nephrology
Surgical Case Reports

Background:

Extracorporeal shock wave lithotripsy (ESWL) is a common treatment for kidney and ureteral stones.
While generally safe, ESWL carries a risk of rare but serious complications, including visceral injury.

Observation:

A 61-year-old female developed abdominal pain and hypotension 24 hours post-ESWL for a left ureteropelvic junction stone.
Abdominal CT revealed a shattered spleen, requiring emergency splenectomy.
The patient recovered uneventfully after surgical intervention.

Findings:

This case is the first reported instance of splenic rupture associated with a third-generation electromagnetic lithotripter.
The findings suggest that even advanced ESWL technology may pose a risk of splenic injury.
Review of literature indicates that splenic injury is a known, albeit infrequent, complication of ESWL.

Implications:

Clinicians should maintain a high index of suspicion for splenic injury in patients presenting with abdominal symptoms post-ESWL.
Further investigation into the mechanisms of visceral injury during ESWL may be warranted.
This case underscores the importance of patient monitoring following ESWL, even after an initially successful procedure.