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[Severe pulmonary contusion after extracorporeal shock wave lithotripsy]
M A Samkaoui1, A Ziadi, G Harifi
1Service d'anesthésie-réanimation, hôpital IbnTofail, CHU Mohamed VI, rue Al moustachfa, Gueliz, Marrakech, Morocco. samkaouima@yahoo.fr
Annales Francaises D'Anesthesie Et De Reanimation
|March 14, 2009
Summary
Extracorporeal shock wave lithotripsy (ESWL) can cause rare pulmonary complications, including lung contusion. This case highlights the importance of recognizing and managing these adverse events following urinary stone treatment.
Area of Science:
- Nephrology
- Pulmonology
- Medical Imaging
Background:
- Extracorporeal shock wave lithotripsy (ESWL) is a primary treatment for kidney stones, valued for its non-invasive nature.
- Despite its general safety, ESWL carries risks of renal and extrarenal complications, including pulmonary trauma.
Observation:
- A case report details a 28-year-old patient experiencing pulmonary contusion after ESWL for a left kidney stone.
- The patient's condition resolved favorably after a two-week intensive care unit stay.
Findings:
- Pulmonary complications, such as contusion, are rare but documented adverse events associated with ESWL.
- Analysis of this case and literature review explores the varied presentations and potential mechanisms of ESWL-induced pulmonary injury.
Implications:
- Awareness of potential pulmonary complications is crucial for clinicians performing ESWL.
- Implementing preventive measures may reduce the incidence of these rare but serious adverse events.
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