J Korean Soc Emerg Med.  2008 Dec;19(6):768-772.

Delayed Splenic Rupture and Pancreatic Pseudocyst Following Extracorporeal Shock Wave Lithotripsy for a Urolithiasis

• Park HK
• Jung W
• Park SH
• Kim MC

Abstract

Extracorporeal shock wave lithotripsy (ESWL) has revolutionized the management of urolithiasis since 1980. Although it has proved to be a safe, effective treatment modality, it is not free of complications. As this procedure has become more widely available, complications as a result of injury to the kidney and the surrounding organs are being increasingly recognized. Those reported complications include hepatic hematoma, biliary obstruction, pancreatitis, colonic and splenic injury, bowel perforation, psoas abscess, aortic aneurysm rupture, portal and iliac vein thrombosis, retroperitoneal and brain hemorrhage, gastric erosions, pulmonary contusions and cardiac arrhythmias. Physicians caring for these patients should be mindful of these complications and keep an eye open to spot them. We report here on a case of a young male patient who developed splenic rupture and a pancreatic pseudocyst after undergoing extracorporeal shock wave lithotripsy (ESWL) for treating a left upper ureter stone.

Keyword

Extracorporeal Shock Wave Lithotripsy (ESWL); Complications; Spleen; Rupture; Pancreatic pseudocyst

MeSH Terms

Aortic Aneurysm
Arrhythmias, Cardiac
Colon
Contusions
Eye
Hematoma
Humans
Iliac Vein
Intracranial Hemorrhages
Kidney
Lithotripsy
Male
Pancreatic Pseudocyst
Pancreatitis
Psoas Abscess
Rupture
Shock
Spleen
Splenic Rupture
Thrombosis
Ureter
Urolithiasis