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[Bowel perforation after extracorporeal shock wave lithotripsy: a case report]
T Kajikawa1, T Nozawa, Y Owari
1Department of Urology, Iwate Prefectural Central Hospital.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|August 24, 2001
Summary
Extracorporeal shock wave lithotripsy (ESWL) can cause rare intestinal perforations, especially in patients with prior abdominal surgery or when treated in the prone position. This case highlights a rare but serious complication of ESWL.
Area of Science:
- Urology
- Gastroenterology
- Surgical Complications
Background:
- Extracorporeal shock wave lithotripsy (ESWL) is a common procedure for treating ureteral calculi.
- Patient history included bilateral iliac aneurysm graft replacement and subsequent left ureterolithiasis.
Observation:
- A 69-year-old male developed severe abdominal pain post-ESWL for a left ureteral calculus, performed in the prone position.
- Initial CT scan was inconclusive, but delayed presentation with muscular defense and subsequent CT revealed jejunal perforation and ileus.
Findings:
- The patient underwent emergency surgery, revealing two 2 mm perforations in the jejunum.
- The intestinal perforations were diagnosed as a complication of ESWL.
Implications:
- Intestinal perforation is a very rare but serious complication of ESWL.
- Clinicians should consider this risk in patients with a history of abdominal surgery or those undergoing ESWL in the prone position.
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