The incidence of urinary calculi in autosomal dominant polycystic kidney disease (ADPKD) ranges from 10 to 36 %.
Shockwave lithotripsy (SWL) for urinary calculi in ADPKD was reported to be a safe and effective treatment option. However, there is a potential risk of cyst rupture and traumatic hemorrhage because of shockwaves. A 39-year-old female with polycystic kidneys and upper ureter stone was treated with SWL and developed life-threatening complications of cyst rupture, traumatic hemorrhage and septic shock. She was initially treated with supportive care in the intensive care unit, but in the end nephrectomy was performed.
Written by:
Kim HG, Bae SR, Lho YS, Park HK, Paick SH. Are you the author?
Department of Urology, Konkuk University School of Medicine, 4-12 Hwayang-Dong, Gwangjin-Ku, Seoul, 143-729, Korea.
Reference: Urolithiasis. 2013 Mar 3. Epub ahead of print.
PubMed Abstract
PMID: 23456211
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