Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy
Abstract Background Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases. Case presentation A 61-year-old man was admitted to the hospital...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-09-01
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| Series: | The Ultrasound Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13089-019-0141-8 |
| _version_ | 1819006929971707904 |
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| author | Luís Magalhães Ramon Nogué |
| author_facet | Luís Magalhães Ramon Nogué |
| author_sort | Luís Magalhães |
| collection | DOAJ |
| description | Abstract Background Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases. Case presentation A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Bedside ultrasound showed a hyperechoic subcapsular lesion along the right kidney. This finding, along with the clinical examination, suggested the diagnosis of subcapsular renal hematoma. The patient was managed conservatively with clinical and ultrasound reassessments. Conclusions This case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis. |
| first_indexed | 2024-12-21T00:16:30Z |
| format | Article |
| id | doaj.art-369fc7d28e5a4c93aa37e1a51b5dc83a |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-12-21T00:16:30Z |
| publishDate | 2019-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-369fc7d28e5a4c93aa37e1a51b5dc83a2022-12-21T19:22:12ZengSpringerOpenThe Ultrasound Journal2524-89872019-09-011111310.1186/s13089-019-0141-8Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsyLuís Magalhães0Ramon Nogué1Hospital da Luz – ArrábidaUniversitat de LleidaAbstract Background Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases. Case presentation A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Bedside ultrasound showed a hyperechoic subcapsular lesion along the right kidney. This finding, along with the clinical examination, suggested the diagnosis of subcapsular renal hematoma. The patient was managed conservatively with clinical and ultrasound reassessments. Conclusions This case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis.http://link.springer.com/article/10.1186/s13089-019-0141-8UltrasonographyEmergency medicinePoint-of-care testingDiagnostic imagingExtracorporeal shockwave therapyLithotripsy |
| spellingShingle | Luís Magalhães Ramon Nogué Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy The Ultrasound Journal Ultrasonography Emergency medicine Point-of-care testing Diagnostic imaging Extracorporeal shockwave therapy Lithotripsy |
| title | Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy |
| title_full | Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy |
| title_fullStr | Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy |
| title_full_unstemmed | Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy |
| title_short | Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy |
| title_sort | clinical use of renal point of care ultrasound after extracorporeal shock wave lithotripsy |
| topic | Ultrasonography Emergency medicine Point-of-care testing Diagnostic imaging Extracorporeal shockwave therapy Lithotripsy |
| url | http://link.springer.com/article/10.1186/s13089-019-0141-8 |
| work_keys_str_mv | AT luismagalhaes clinicaluseofrenalpointofcareultrasoundafterextracorporealshockwavelithotripsy AT ramonnogue clinicaluseofrenalpointofcareultrasoundafterextracorporealshockwavelithotripsy |