Skip to main content
SpringerLink
Log in

Reversible acute renal failure after unilateral extracorporeal shock-wave lithotripsy

  • Original Paper
  • Published:
Urological Research Aims and scope Submit manuscript

Abstract

Extracorporeal shock-wave lithotripsy (ESWL) is the treatment of choice for the majority of patients with renal or proximal ureteral stones. We describe an unusual case of anuric renal failure following ESWL, in absence of obstruction or myoglobinuria, in the presence of unilateral nephrolithiasis and two normally functioning kidneys. A mechanism for this patient’s acute renal failure (ARF) is postulated. Although the frequency of ARF after ESWL is extremely rare and the mechanism responsible for ARF is not understood, the appearance of ARF, when ureteral obstruction or hematoma are absent, should be included among complications following EWSL. Attention should be paid to older patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.

Similar content being viewed by others

References

  1. Lingeman JE, Woods J, Toth PD, Evan AP, McAteer JA (1989) The role of lithotripsy and its side effects. J Urol 141:793

    CAS  Google Scholar 

  2. Tuteja AK, Pulliam JP, Lehman TH, Elzinga LW (1997) Anuric renal failure from massive bilateral renal hematoma following extracorporeal shock wave lithotripsy. Urology 50(4): 606

    Article  CAS  PubMed  Google Scholar 

  3. Rassweiler J, Kohrmann KU, Back W, Frohner S, Raab M, Weber A, Kahmann F, Marlinghaus E, Junemann KP, Alken P (1993) Experimental basis of shockwave-induced renal trauma in the model of the canine kidney. World J Urol 11(1): 43

    CAS  PubMed  Google Scholar 

  4. Karlsen SJ, Smevik B, Hovig T (1991) Acute morphological changes in canine kidneys after exposure to extracorporeal shock waves. A light and electron microscopic study. Urol Res 19:105

    PubMed  Google Scholar 

  5. Willis LR, Evan AP, Connors BA, Reed G, Fineberg NS, Lingeman JA (1996) Effects of extracorporeal shock wave lithotripsy to one kidney on bilateral glomerular filtration rate and PAH clearance in minipigs. J Urol 156(4): 1502

    CAS  PubMed  Google Scholar 

  6. Knapp R, Frauscher F, Helweg G, zur Nedden D, Strasser H, Janetschek G, Bartsch G (1995) Age-related changes in resistive index following extracorporeal shock wave lithotripsy. J Urol 154(3): 955

    CAS  PubMed  Google Scholar 

  7. Strohmaier WL, Carl AM, Wilbert DM, Bichler KH (1996) Effects of extracorporeal shock wave lithotripsy on plasma concentration of endothelin and renin in humans. J Urol 155(1): 48

    CAS  PubMed  Google Scholar 

  8. DiBona GF, Kopp UC (1997) Neural control of renal function. Physiological reviews 77(1): 75

    CAS  Google Scholar 

  9. Smith K, Halliwell RM, Lawrence S, Klineberg PL, O’Connell P (1993) Acute renal failure associated with intramuscular ketorolac. Anaesth Intensive Care 21(5): 700

    CAS  PubMed  Google Scholar 

  10. Kleinknecht D, Pallot JL, Chauveau P (1994) Bilateral acute tubular necrosis after unilateral extracorporeal shock-wave lithotripsy. Nephron 66(3): 360

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dept. of Urology and Nephrology, University of Trieste, Trieste, Italy

    Giovanni Liguori, Carlo Trombetta, Stefano Bucci, Leonardo Salamè, Silvana Savoldi & Emanuele Belgrano

Authors
  1. Giovanni Liguori
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carlo Trombetta
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stefano Bucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Leonardo Salamè
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Silvana Savoldi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Emanuele Belgrano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giovanni Liguori.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Liguori, G., Trombetta, C., Bucci, S. et al. Reversible acute renal failure after unilateral extracorporeal shock-wave lithotripsy. Urol Res 32, 25–27 (2004). https://doi.org/10.1007/s00240-003-0369-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00240-003-0369-3

Keywords

Search

Navigation