Between November 2007 and July 2019, four cases with serious complications after ESWL were transfer to our emergency department, the First Hospital of Lanzhou University, a western Hospital of China. Because urosepsis, hypovolemic shock or acute renal function failure, three of these patients died within 14.5 hours (14.5 hours, 48 minutes, and 58 minutes, respectively, mean 5.4 h) after they were admitted. The ESWL missions for these three patients were 4, 7 and 5, with a time interval of 2, 4 and 4 weeks accordingly. An exploratory laparotomy had to perform on the last patient and a ruptured left kidney was confirmed accompany with pyogenic infection during the operation. She died at the seventh day after been admitted. So iatrogenic injury caused by over-treatment and without systemic follow up may be the main cause of these death cases. Clinical data were summarized and literature was reviewed. We found, although ESWL is a simple, safe and effective procedure for the management of urolithiasis, unnecessary hurt will occur when it was used inappropriately. So indispensable attention must be pay on its possible side effects, especially for over-treatment. Well-trained ESWL physicians may be necessary for ESWL profession, which may reduce the incidence rate of severe complications in the ESWL treatment effectively.
| Published in | International Journal of Clinical Urology (Volume 4, Issue 2) |
| DOI | 10.11648/j.ijcu.20200402.15 |
| Page(s) | 59-63 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Extracorporeal Shock Wave Lithotripsy (ESWL), Urolithiasis, Serious Complication, Over-treatment, Iatrogenic Injury
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APA Style
Xiangbo Zhang, Wei Zhang. (2020). Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for. International Journal of Clinical Urology, 4(2), 59-63. https://doi.org/10.11648/j.ijcu.20200402.15
ACS Style
Xiangbo Zhang; Wei Zhang. Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for. Int. J. Clin. Urol. 2020, 4(2), 59-63. doi: 10.11648/j.ijcu.20200402.15
AMA Style
Xiangbo Zhang, Wei Zhang. Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for. Int J Clin Urol. 2020;4(2):59-63. doi: 10.11648/j.ijcu.20200402.15
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Download@article{10.11648/j.ijcu.20200402.15,
author = {Xiangbo Zhang and Wei Zhang},
title = {Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for},
journal = {International Journal of Clinical Urology},
volume = {4},
number = {2},
pages = {59-63},
doi = {10.11648/j.ijcu.20200402.15},
url = {https://doi.org/10.11648/j.ijcu.20200402.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200402.15},
abstract = {Between November 2007 and July 2019, four cases with serious complications after ESWL were transfer to our emergency department, the First Hospital of Lanzhou University, a western Hospital of China. Because urosepsis, hypovolemic shock or acute renal function failure, three of these patients died within 14.5 hours (14.5 hours, 48 minutes, and 58 minutes, respectively, mean 5.4 h) after they were admitted. The ESWL missions for these three patients were 4, 7 and 5, with a time interval of 2, 4 and 4 weeks accordingly. An exploratory laparotomy had to perform on the last patient and a ruptured left kidney was confirmed accompany with pyogenic infection during the operation. She died at the seventh day after been admitted. So iatrogenic injury caused by over-treatment and without systemic follow up may be the main cause of these death cases. Clinical data were summarized and literature was reviewed. We found, although ESWL is a simple, safe and effective procedure for the management of urolithiasis, unnecessary hurt will occur when it was used inappropriately. So indispensable attention must be pay on its possible side effects, especially for over-treatment. Well-trained ESWL physicians may be necessary for ESWL profession, which may reduce the incidence rate of severe complications in the ESWL treatment effectively.},
year = {2020}
}
TY - JOUR T1 - Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for AU - Xiangbo Zhang AU - Wei Zhang Y1 - 2020/08/04 PY - 2020 N1 - https://doi.org/10.11648/j.ijcu.20200402.15 DO - 10.11648/j.ijcu.20200402.15 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 59 EP - 63 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20200402.15 AB - Between November 2007 and July 2019, four cases with serious complications after ESWL were transfer to our emergency department, the First Hospital of Lanzhou University, a western Hospital of China. Because urosepsis, hypovolemic shock or acute renal function failure, three of these patients died within 14.5 hours (14.5 hours, 48 minutes, and 58 minutes, respectively, mean 5.4 h) after they were admitted. The ESWL missions for these three patients were 4, 7 and 5, with a time interval of 2, 4 and 4 weeks accordingly. An exploratory laparotomy had to perform on the last patient and a ruptured left kidney was confirmed accompany with pyogenic infection during the operation. She died at the seventh day after been admitted. So iatrogenic injury caused by over-treatment and without systemic follow up may be the main cause of these death cases. Clinical data were summarized and literature was reviewed. We found, although ESWL is a simple, safe and effective procedure for the management of urolithiasis, unnecessary hurt will occur when it was used inappropriately. So indispensable attention must be pay on its possible side effects, especially for over-treatment. Well-trained ESWL physicians may be necessary for ESWL profession, which may reduce the incidence rate of severe complications in the ESWL treatment effectively. VL - 4 IS - 2 ER -
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