Persistent Pain After Lithotripsy
نویسندگان
چکیده
A 36-year old man presents to the emergency room five days after undergoing extracorporeal shock wave lithotripsy (ESWL) for a symptomatic 11mm left renal pelvis stone. The patient has persistent symptoms of severe left flank pain at presentation. Plain abdominal radiography is obtained and shows a steinstrasse pattern of urolithiasis. In the 1980s, the German developers of ESWL observed that stone fragments could stack in a column formation in the ureter in a radiographic pattern that resembled a “stone street,” or steinstrasse in German (plural is steinstrassen) (Figure).1 This phenomenon is observed in 2-20% of ESWL patients and is a unique cause of ureteral obstruction that may present to the emergency Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas
منابع مشابه
Treatment of painful caliceal stones.
Nonmobile caliceal stones cause pain more often than previously appreciated. The character and intensity of the pain differs from typical renal colic. Twenty-six patients with caliceal stones and pain underwent attempted treatment for pain control via stone removal or disintegration: 15 were treated with percutaneous stone extraction (PSE), 10 with extracorporeal shock-wave lithotripsy (ESWL), ...
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