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[Extracorporeal shockwave lithotripsy and lymph node calcification].

E Higashihara, M Fujime, T Niijima

    Deutsche Medizinische Wochenschrift (1946)
    |May 8, 1987
    PubMed
    Summary
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    Extracorporeal shock wave lithotripsy successfully treated kidney stones in a patient with calcified lymph nodes. The treatment did not harm the lymph node structure, showing it is safe even with nearby calcifications.

    Area of Science:

    • Nephrology
    • Urology
    • Medical Imaging

    Background:

    • Kidney stones (renal calculi) are a common condition requiring effective treatment.
    • Calcified lymph nodes near the kidney can pose a challenge for certain treatments.
    • Extracorporporeal shock wave lithotripsy (ESWL) is a standard treatment for kidney stones.

    Observation:

    • A female patient presented with left kidney calculi and adjacent calcified lymph nodes near the left renal pelvis.
    • The patient underwent extracorporeal shock wave lithotripsy for the kidney stones.

    Findings:

    • Extracorporporeal shock wave lithotripsy successfully fragmented and treated the kidney calculi.
    • The simultaneous application of shock waves did not result in any structural damage to the adjacent calcified lymph nodes.

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    Implications:

    • Extracorporeal shock wave lithotripsy is a safe and effective treatment option for kidney stones, even in the presence of nearby calcified lymph nodes.
    • This finding may expand the applicability of ESWL in patients with complex anatomical presentations.
    • Further studies could explore the long-term effects and optimal parameters for ESWL in such cases.