extracorporeal shock wave lithotripsy
A challenging
case of gastric outlet obstruction (Bouveret"s syndrome): a case report. CT scan showing a gallstone that is completely obstructing the patient"s duodenum.
Extracorporeal
shock wave lithotripsy • Renal calculus: pre- and post-ESWL - Ganzer Fall bei Radiopaedia
Extracorporeal
shock wave lithotripsy • Perirenal hematoma after extracorporeal shock-wave lithotripsy - Ganzer Fall bei Radiopaedia
Extracorporeal
shock wave lithotripsy • Renal subcapsular hematoma post shockwave lithotripsy - Ganzer Fall bei Radiopaedia
Extracorporeal
shock wave lithotripsy • Shock wave lithotripsy-induced renal injury - Ganzer Fall bei Radiopaedia
Steinstrasse
• Steinstrasse - ureteric calculi - Ganzer Fall bei Radiopaedia
Extracorporeal shock wave lithotripsy (ESWL) is a common non-invasive treatment for urolithiasis, and less commonly for pancreatic or salivary ductal stones . It is less successful in obese patients and with stones >2 cm. Children respond equally well or better to ESWL than adults .
The principle of extracorporeal shock wave lithotripsy is that focused shock waves cause stone fragmentation. Repetition of this process eventually leads to pulverization of the calculi. Radiologically these can be visualized during the treatment with either fluoroscopy or ultrasound imaging.
Contraindications
- pregnancy
- infection
- obstruction of the urinary tract
- abdominal aortic aneurysm
- coagulopathy
- use of anticoagulants, antiplatelets or some NSAID medications
Complications
- steinstrasse: incomplete fragmentation that results in a pile-up of stone fragments that obstruct the ureter
- renal hemorrhage is rare (<1%)
- hematuria (adult) - is common in ESWL and is considered more of a side effect from the shock waves than a complication
Siehe auch:
und weiter:
Assoziationen und Differentialdiagnosen zu Extrakorporale Stoßwellenlithotripsie (ESWL):
