Perforation of the upper ureter: a rare complication of extracorporeal shock wave lithotripsy.

Turgut M., Can C., Yenilmez A., Akcar N.

Urological research, cilt.35, sa.4, ss.215-8, 2007 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 4
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1007/s00240-007-0101-9
  • Dergi Adı: Urological research
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.215-8
  • Anahtar Kelimeler: extracorporeal shock wave lithotripsy, complication, urinary stone, ureter perforation, FISTULA, STONES
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Perforation of the upper ureter is a rare but serious complication of extracorporeal shock wave lithotripsy (SWL). Ureteral perforation can cause a series of problems including the retroperitoneal urinoma, urosepsis, abscess formation, infection, and subsequent renal function impairment. We reported here a rare case of SWL-induced upper ureteral rupture resulting in an expanding retroperitoneal urinoma that required percutaneous drainage. Ureteral perforation was treated successfully without major surgical intervention by employing temporary percutaneous drainage and antibiotics. The present case indicates that potential ureter rupture may form in rare cases; especially in patients having infected stones and exposed to a high number of shock waves. This complication further emphasizes the importance of adequate pre-and post-operative evaluation and the precise identification of the cause of the persistent pain after SWL.