Related Experiment Video
Updated: Jan 9, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Small bowel perforation and peritonitis: a rare life-threatening complication of extracorporeal shock wave
Hossameldin Alnawasra1, Faisal Ahmed2, Munzir Obaid3
1Urology Section, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
Abstract:
Extracorporeal shock wave lithotripsy (ESWL) is a cornerstone non-invasive therapy for urolithiasis. While major complications are rare, bowel perforation represents a serious life-threatening event. We present the case of a 36-year-old male with a history of recurrent renal stones who developed an acute abdomen four hours after supine ESWL for a right proximal ureteral calculus. Computed tomography revealed pneumoperitoneum and mesenteric stranding. Emergency laparotomy confirmed a jejunal perforation with secondary peritonitis, which was managed with primary repair and ureteral stenting. The patient made a full recovery. This case highlights a severe but rare complication of a common urological procedure. It underscores the critical need for high clinical suspicion in any patient presenting with abdominal pain post-ESWL, as prompt diagnosis via cross-sectional imaging and immediate surgical intervention are paramount for survival. A multidisciplinary approach is essential for optimal management.
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Urinary Tract Calculi VI: Surgical Management
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...