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Published on: August 22, 2025
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[Colonic perforation after extracorporeal shock wave lithotripsy]
1Urologische Klinik am Diakoniekrankenhaus Mannheim. W.Kurz@diako-ma.de
Deutsche Medizinische Wochenschrift (1946)
|February 19, 2009
Summary
Extracorporeal shock wave lithotripsy (ESWL) for kidney stones can lead to rare but serious complications like colon perforation. Prompt clinical and ultrasound monitoring is crucial for early detection and management after ESWL treatment.
Area of Science:
- Urology
- Gastroenterology
- Surgical Complications
Background:
- Extracorporeal shock wave lithotripsy (ESWL) is a common treatment for urinary lithiasis.
- While generally safe, ESWL carries a low risk of complications.
Observation:
- A patient developed severe abdominal pain 20 hours post-ESWL.
- Ultrasound revealed intraabdominal air and perisplenic fluid, with no direct kidney injury.
- Laparoscopy and subsequent laparotomy identified a perforated descending colon.
Findings:
- The patient underwent surgical repair of the colon perforation without a diverting colostomy.
- The patient had an uneventful recovery and was discharged on postoperative day 8.
Implications:
- ESWL, despite its safety profile, can result in life-threatening pararenal complications.
- Increased outpatient ESWL necessitates vigilant post-procedure monitoring for timely complication management.
- Interdisciplinary collaboration is key for managing ESWL-related complications.
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