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 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.

Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

“…[6][7][8] Patients who inevitably tolerate pain during lithotripsy processes have poor pain relief, delayed recovery, and bad patient satisfaction. [9][10][11] Numerous conventional treatments are used for pain relief during extracorporeal shock wave lithotripsy, and they mainly include pharmacological and non-pharmacological methods. [12][13][14] Pharmacological approaches may result in adverse events such as nausea, vomiting, gastric bleeding and respiratory depression etc.…”

“…[6–8] Patients who inevitably tolerate pain during lithotripsy processes have poor pain relief, delayed recovery, and bad patient satisfaction. [9–11]…”