Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis.
10.15279/kpba.2016.21.2.82
- Author:
Jung Un HONG
1
;
Byung Min JOHN
;
Tae Seob JUNG
;
In Young NOH
;
Nam Kyu KANG
;
In Sun MIN
;
Ju Young LEE
;
Hae Sung KIM
Author Information
1. Department of Internal Medicine, Gwang-Myeong SungAe General Hospital, Gwangmyeong, Korea. 2osler@naver.com
- Publication Type:Case Report
- Keywords:
Extracorporeal shock wave lithotripsy;
Complication;
Acute pancreatitis
- MeSH:
Abdominal Pain;
Anti-Bacterial Agents;
Arrhythmias, Cardiac;
Diagnosis;
Emergency Service, Hospital;
Female;
Flank Pain;
Hematoma;
Humans;
Hypotension;
Lithotripsy*;
Lung Injury;
Middle Aged;
Pancreatitis*;
Pulmonary Edema;
Resuscitation;
Shock*;
Ureter;
Urolithiasis*;
Venous Thrombosis
- From:Korean Journal of Pancreas and Biliary Tract
2016;21(2):82-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
48-year-old woman was admitted to emergency room due to left flank pain. It was diagnosed with left ureteral stone and underwent extracorporeal shock wave lithotripsy (ESWL). However, 12 hours later, the patient complained acute upper abdominal pain with pulmonary edema and low blood pressure. A diagnosis of moderate acute pancreatitis with local complication was considered and we decided conservative therapy including fluid resuscitation, inotropics and antibiotics. It was suggested that ESWL was responsible for the acute pancreatitis. The patient gradually recovered and was discharged on 13th day of admission. ESWL is considered the standard treatment for urolithiasis. Although, it has proved to be safe and effective, serious complications have been reported in 1% of patients, including acute pancreatitis, perirenal hematoma, urosepsis, venous thrombosis, biliary obstruction, bowel perforation, lung injury, and cardiac arrhythmia. Although the possibility of post-ESWL acute pancreatitis is extremely low, physicians should take care of this complication.
