Operation:

Extracorporeal shock wave lithotripsy of right kidney stone

Procedure:

Under IV sedation, the patient was placed in the supine position. The stone in the upper right kidney was positioned at F2. The extracorporeal lithotripsy was started at 19 KV, which subsequently was increased to a maximum of 26 KV at 1,600 shocks. The stone was re-visualized, and repositioning was done considering the transverse colon passing right anterior to the stone. Because the stone appeared to be in the same place after the repositioning, shocks were delivered.

Apparent adequate fragmentation was obtained after a total of 2,400 shocks had been administered. The patient tolerated the procedure well.

Case Study 9

0TF3XZZ Fragmentation, Kidney Pelvis, Right (0TF3)

Rationale: ESWL is performed to fragment the stone in the right kidney. The lithotripsy breaks the stone into smaller pieces that will be able to pass through the genitourinary tract more easily.

Index: Lithotripsy > See Fragmentation