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Related Experiment Videos

Shock wave-induced pancreatic trauma.

K D Mullen1, J H Hoofnagle, E A Jones

  • 1Liver Disease Section, NIDDK, National Institutes of Health, Bethesda, Maryland.

The American Journal of Gastroenterology
|May 1, 1991
PubMed
Summary

Extracorporeal shock wave lithotripsy (ESWL) for kidney stones may cause temporary pancreatic lesions. This case suggests shock wave trauma, potentially influenced by liver disease, can lead to these rare pancreatic injuries.

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Area of Science:

  • Nephrology
  • Gastroenterology
  • Medical Imaging

Background:

  • Extracorporeal shock wave lithotripsy (ESWL) is a common procedure for treating kidney stones.
  • Pancreatic injury is a rare but potential complication following ESWL.
  • Underlying patient conditions, such as liver disease, may influence complication risk.

Observation:

  • A patient developed a pancreatic or peripancreatic lesion after undergoing ESWL for a left renal calculus.
  • The lesion's location and spontaneous resolution suggested a link to ESWL-induced trauma.
  • Imaging studies were crucial in identifying and monitoring the lesion.

Findings:

  • The case highlights a potential, albeit infrequent, association between ESWL and pancreatic/peripancreatic lesions.

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  • The transient nature of the lesion supports the hypothesis of mechanical trauma from shock waves.
  • The study discusses the possible contributing role of the patient's pre-existing liver disease.

    • Implications:

    • Awareness of this complication is important for clinicians performing ESWL.
    • Further research may clarify the precise mechanisms and risk factors for ESWL-related pancreatic injury.
    • This finding may inform patient selection and monitoring protocols for ESWL procedures.