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01.12.2019 | Case report | Ausgabe 1/2019 Open Access

The Ultrasound Journal 1/2019

Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy

Zeitschrift:
The Ultrasound Journal > Ausgabe 1/2019
Autoren:
Luís Magalhães, Ramon Nogué
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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.
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