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KMID : 0985520160210020082
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Korean Journal of Pancreas and Biliary Tract
2016 Volume.21 No. 2 p.82 ~ p.86
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Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis
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홍정운:Hong Jung-Un
전병민:John Byung-Min/정태섭:Jung Tae-Seob/노인영:Nho In-Young/강남규:Kang Nam-Kyu/민인선:Min In-Sun/이주영:Lee Ju-Young/김해성:Kim Hae-Sung
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Abstract
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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.
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KEYWORD
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Extracorporeal shock wave lithotripsy, Complication, Acute pancreatitis
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