Hassan Imran, Zietlow Scott P
Division of Trauma, Critical Care and General Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Urology. 2002 Dec;60(6):1111. doi: 10.1016/s0090-4295(02)01984-2.
Extracorporeal shock wave lithotripsy (ESWL) is currently considered the standard treatment for most renal and upper ureteral calculi. The complication rates with ESWL have been reported to be low, resulting in its widespread acceptance and use. However, as the technique has become more widely available, serious complications as a result of injury to the kidney and the surrounding organs have been recognized. We report on the development of severe acute pancreatitis in a patient after ESWL for a right-sided renal calculus. The patient history and chronologic clinical course strongly suggest a causal association between the ESWL and the development of pancreatitis.
体外冲击波碎石术（ESWL）目前被认为是大多数肾和输尿管上段结石的标准治疗方法。据报道，ESWL的并发症发生率较低，这使得它被广泛接受和应用。然而，随着这项技术的应用越来越广泛，因肾脏和周围器官损伤导致的严重并发症已被认识到。我们报告了1例右侧肾结石患者在接受ESWL治疗后发生严重急性胰腺炎的情况。患者病史和按时间顺序记录的临床病程强烈提示ESWL与胰腺炎的发生之间存在因果关系。
