Korean J Pancreas Biliary Tract.  2016 Apr;21(2):82-86. 10.15279/kpba.2016.21.2.82.

Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis

• Hong JU
• John BM
• Jung TS
• Noh IY
• Kang NK
• Min IS
• Lee JY
• Kim HS

• KMID: 2448518
• DOI: http://doi.org/10.15279/kpba.2016.21.2.82

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.

Keyword

Extracorporeal shock wave lithotripsy; Complication; Acute pancreatitis

MeSH Terms

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
Anti-Bacterial Agents