Hung S Y, Chen H M, Jan Y Y, Chen M F
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Hepatogastroenterology. 2000 Jul-Aug;47(34):1162-3.
Common bile duct and pancreatic injury are rare complications following extracorporeal shock wave lithotripsy. We reported a case of peripancreatic abscess with inflammation change of common bile duct and pancreatic head following extracorporeal shock wave lithotripsy for right renal stone. Its anatomical location and subsequent clinical course suggest it was related to trauma caused by the shock wave. It should be considered a relative contraindication to apply extracorporeal shock wave lithotripsy in cases of right renal stone associated with large gall stones.
胆总管和胰腺损伤是体外冲击波碎石术后罕见的并发症。我们报告了一例右肾结石体外冲击波碎石术后发生胰周脓肿并伴有胆总管和胰头炎症改变的病例。其解剖位置及后续临床病程提示与冲击波所致创伤有关。对于合并大的胆结石的右肾结石病例，应将其视为体外冲击波碎石术的相对禁忌证。
