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Journal of Ultrasound in Medicine, Vol 6, Issue 6 299-306, Copyright © 1987 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Sonographic evaluation of the kidney following extracorporeal shock wave lithotripsy

J. V. Kaude, J. L. Williams, P. G. Wright, D. Bush, C. Derau and R. C. Newman

We investigated the value of real-time sonography for determination of pelvicaliceal dilatation 24-48 h after extracorporeal shock wave lithotripsy (ESWL) in 369 patients (419 treated kidneys). A varying degree of hydronephrosis was present in 121/419 (29%) kidneys. Fragmented stones post-ESWL were demonstrable in 346/419 kidneys (82%), but were missed by ultrasound in three kidneys (less than 1%). In four kidneys (1%), stone fragments which were shown to be present by ultrasound were not detectable on radiographs. In 25/419 kidneys (6%), evidence of renal trauma caused by ESWL was demonstrated by ultrasound. The most important incidental finding was a small renal cell carcinoma of the contralateral (untreated) kidney.


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Copyright © 1987 by the American Institute of Ultrasound in Medicine.