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체외충격파 쇄석술 이후 발생한 급성신손상 1예

A Case Report of Acute Kidney Injury after Extracorporeal Shockwave Lithotripsy

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초록

양측 신결석에 대한 체외충격파쇄석술 이후 발생한 신후성 급성 신손상에 대하여 보존적 치료로 호전된 예를 문헌고찰과 함께 보고하는 바이다.

Abstract

We report a case of acute kidney injury following extracorporeal shock wave lithotripsy. A 41-year-old man with diabetes mellitus had suffered from urinary difficulty after several treatments of ESWL, bilaterally. It was suspected that fragments of renal stones had caused an obstructive nephropathy with bilateral hydronephrosis. Fortunately, even without renal replacement therapy, renal function gradually returned. (Korean J Med 2012;82:628-631)

참고문헌 (7)

  1. Krysiewicz S, "Complications of renal extracorporeal shock wave lithotripsy reviewed", Urol Radiol, 13, pp.139~145 (1992)
  2. Chaussy C, "Extracorporeally induced destruction of kidney stones by shock waves", Lancet, 2, pp.1265~1268 (1980)
  3. Kleinknecht D, "Bilateral acute tubular necrosis after unilateral extracorporeal shock-wave lithotripsy", Nephron, 66, pp.360~361 (1994)
  4. Newman LH, "Identifying risk factors in development of clinically significant post-shock-wave lithotripsy subcapsular hematomas", Urology, 38, pp.35~38 (1991)
  5. Tuteja AK, "Anuric renal failure from massive bilateral renal hematoma following extracorporeal shock wave lithotripsy", Urology, 50, pp.606~608 (1997)
  6. Perry KT, "The efficacy and safety of synchronous bilateral extracorporeal shock wave lithotripsy", J Urol, 164(3 Pt 1), pp.644~647 (2000)
  7. García Cardoso JV, "Current indications of percutaneous nephrostomy associated with extracorporeal shock wave lithotripsy in the treatment of renoureteral stones", Arch Esp Urol, 57, pp.725~729 (2004)

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