Urol. praxi, 2011; 12(2): 123-125

Splenic rupture rare - complication of extracorporeal shock wave litotrispy

MUDr.Ján Čičila, MUDr.Aleš Petřík, Ph.D., MUDr.Zdeněk Staněk, MUDr.Jan Starczewski
Urologické oddělení, Nemocnice České Budějovice

Extracorporeal shock wave lithotripsy is one of the basic treatment methods of urolithiasis. Nevertheless, that in comparison with percutaneous

litholapaxy and ureteroscopy, less complications is occurring for ESWL, serious life-threatening complications could occur.

A case report of splenic rupture in 32 hours period after ESWL in 66-year old male patient, with no concomitant risk factors, is presented.

Careful follow-up, early diagnosis and immediate surgical intervention play essential role in the management of splenic rupture. Appropriate

information of potential complications of ESWL treatment is necessary to perform especially in out-patient cases.

Keywords: ESWL, extracorporeal shock wave lithotripsy, complications, rupture, spleen

Published: April 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Čičila J, Petřík A, Staněk Z, Starczewski J. Splenic rupture rare - complication of extracorporeal shock wave litotrispy. Urol. praxi. 2011;12(2):123-125.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Wen CC, Nakada SY. Treatment selection and outcomes: renal calculi. Urol Clin North Am. 2007; 34(3): 409-419. Go to original source... Go to PubMed...
    2. Galvin DJ, Pearle MS. The contemporary management of renal and ureteric calculi. BJU Int. 2006; 98(6): 1283-1288. Go to original source... Go to PubMed...
    3. Pearle MS, Lingeman JE, Leveillee R, Kuo R, Preminger GM, Nadler RB, et al. Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. J Urol. 2005; 173(6): 2005-2009. Go to original source... Go to PubMed...
    4. Lingeman JE, Coury TA, Newman DM, Kahnoski RJ, Mertz JH, Mosbaugh PG, et al. Comparison of results and morbidity of percutaneous nephrostolithotomy and extracorporeal shock wave lithotripsy. J Urol. 1987; 138(3): 485-490. Go to original source... Go to PubMed...
    5. White WM, Morris SA, Klein FA, Waters WB. Splenic rupture following shock wave lithotripsy. Can J Urol. 2008; 15(4): 4196-4199.
    6. Fugita OE, Trigo-Rocha F, Mitre AI, Arap S. Splenic rupture and abscess after extracorporeal shock wave lithotripsy. Urology. 1998; 52(2): 322-323. Go to original source... Go to PubMed...
    7. Rashid P, Steele D, Hunt J. Splenic rupture after extracorporeal shock wave lithotripsy. J Urol. 1996; 156(5): 1756-1757. Go to original source... Go to PubMed...
    8. Marcuzzi D, Gray R, Wesley-James T. Symptomatic splenic rupture following extracorporeal shock wave lithotripsy. J Urol. 1991; 145(3): 547-548. Go to original source... Go to PubMed...
    9. Chen CS, Lai MK, Hsieh ML, Chu SH, Huang MH, Chen SJ. Subcapsular hematoma of spleen - a complication following extracorporeal shock wave lithotripsy for ureteral calculus. Changgeng Yi Xue Za Zhi. 1992; 15(4): 215-219. Go to PubMed...
    10. Conde Redondo C, Estebanez Zarranz J, Amon Sesmero J, Manzanas M, Alonso Fernandez D, Rodriguez Toves LA, et al. Splenic hematoma after extracorporeal lithotripsy: apropos of a case. Arch Esp Urol. 2002; 55(8): 943-946. Go to PubMed...
    11. Tan YM, Yip SK, Chong TW, Wong MY, Cheng C, Foo KT. Clinical experience and results of ESWL treatment for 3,093 urinary calculi with the Storz Modulith SL 20 lithotripter at the Singapore general hospital. Scand J Urol Nephrol. 2002; 36(5): 363-367. Go to original source... Go to PubMed...
    12. Sayed MA, el-Taher AM, Aboul-Ella HA, Shaker SE. Steinstrasse after extracorporeal shockwave lithotripsy: aetiology, prevention and management. BJU Int. 2001; 88(7): 675-678. Go to original source... Go to PubMed...
    13. Madbouly K, Sheir KZ, Elsobky E, Eraky I, Kenawy M. Risk factors for the formation of a steinstrasse after extracorporeal shock wave lithotripsy: a statistical model. J Urol. 2002; 167(3): 1239-1242. Go to original source... Go to PubMed...
    14. Ather MH, Shrestha B, Mehmood A. Does ureteral stenting prior to shock wave lithotripsy influence the need for intervention in steinstrasse and related complications? Urol Int. 2009; 83(2): 222-225. Go to original source... Go to PubMed...
    15. Muller-Mattheis VG, Schmale D, Seewald M, Rosin H, Ackermann R. Bacteremia during extracorporeal shock wave lithotripsy of renal calculi. J Urol. 1991; 146(3): 733-736. Go to original source... Go to PubMed...
    16. Skolarikos A, Alivizatos G, de la Rosette J. Extracorporeal shock wave lithotripsy 25 years later: complications and their prevention. Eur Urol. 2006; 50(5): 981-990; discussion 90. Go to original source... Go to PubMed...
    17. Karlsen SJ, Smevik B, Hovig T. Acute morphological changes in canine kidneys after exposure to extracorporeal shock waves. A light and electron microscopic study. Urol Res. 1991; 19(2): 105-115. Go to original source... Go to PubMed...
    18. Dhar NB, Thornton J, Karafa MT, Streem SB. A multivariate analysis of risk factors associated with subcapsular hematoma formation following electromagnetic shock wave lithotripsy. J Urol. 2004; 172(6 Pt 1): 2271-2274. Go to original source... Go to PubMed...
    19. Newman LH, Saltzman B. Identifying risk factors in development of clinically significant post-shock-wave lithotripsy subcapsular hematomas. Urology. 1991; 38(1): 35-38. Go to original source... Go to PubMed...
    20. Maker V, Layke J. Gastrointestinal injury secondary to extracorporeal shock wave lithotripsy: a review of the literature since its inception. J Am Coll Surg. 2004; 198(1): 128-135. Go to original source... Go to PubMed...
    21. Pishchalnikov YA, McAteer JA, Williams JC, Jr., Pishchalnikova IV, Vonderhaar RJ. Why stones break better at slow shockwave rates than at fast rates: in vitro study with a research electrohydraulic lithotripter. J Endourol. 2006; 20(8): 537-541. Go to original source... Go to PubMed...
    22. Connors BA, Evan AP, Blomgren PM, Handa RK, Willis LR, Gao S, et al. Extracorporeal shock wave lithotripsy at 60 shock waves/min reduces renal injury in a porcine model. BJU Int. 2009; 26. Go to original source... Go to PubMed...
    23. Connors BA, Evan AP, Blomgren PM, Handa RK, Willis LR, Gao S. Effect of initial shock wave voltage on shock wave lithotripsy-induced lesion size during step-wise voltage ramping. BJU Int. 2009; 103(1): 104-107. Go to original source... Go to PubMed...

    Return to the content


    Urology for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.