tailieunhanh - Báo cáo y học: "Lung contusion and cavitation with exudative plural effusion following extracorporeal shock wave lithotripsy in an adult: a case report."

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lung contusion and cavitation with exudative plural effusion following extracorporeal shock wave lithotripsy in an adult: a case report. | Nouri-Majalan et al. Journal of Medical Case Reports 2010 4 293 http content 4 1 293 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Lung contusion and cavitation with exudative plural effusion following extracorporeal shock wave lithotripsy in an adult a case report 1 1 2 1 Nader Nouri-Majalan Roghayyeh Masoumi Abolhasan Halvani Sara Moghaddasi Abstract Introduction Among the complications of extracorporeal shock wave lithotripsy are perinephric bleeding and hypertension. Case presentation We describe the case of a 31-year-old Asian man with an unusual case of hemoptysis and lung contusion and cavitation with exudative plural effusion due to pulmonary trauma following false positioning of extracorporeal shock wave lithotripsy. Differential diagnoses included pneumonia and pulmonary emboli but these diagnoses were ruled out by the uniformly negative results of a lung perfusion scan Doppler ultrasound and culture of bronchoalveolar lavage and plural effusion and because our patient showed spontaneous improvement. Conclusions False positioning of extracorporeal shock wave lithotripsy can cause lung trauma presenting as pulmonary contusion and cavitation with plural effusion. Introduction Although extracorporeal shock wave lithotripsy ESWL is useful for the management of renal calculi it is associated with several side effects including subcapsular and perinephric bleeding 1 hypertension 2 and splenic hematoma 3 . ESWL has also been reported to be associated with rare pulmonary complications including pulmonary contusion 4 pulmonary edema 5 and hemoptysis in a child 6 . Here we report an unusual case of hemoptysis following ESWL. Case presentation A 31-year-old Asian man with a history of asthma presented with left pleuritic chest pain. One week earlier he had suffered from renal colic in the left flank. Ultrasound showed an 11 mm stone in the proximal section of the left ureter. He underwent ESWL consisting of 4000 .