Hama Tomoaki, Shinji Akihiro, Nozawa Yuichi, Komatsu Kenichi, Ota Hiroshi, Mukawa Kenji, Tamura Yasuo, Yamamura Nobuyoshi, Oguchi Hisao
Department of Gastroenterology, Suwa Red Cross Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2010 Aug;107(8):1335-9.
A 62-year-old man was admitted to receive extracorporeal shock wave lithotripsy (ESWL) for a right renal pelvic calculus. During the operation, the patient complained of right upper quadrant pain. Later in the day, laboratory data showed elevated serum amylase levels, and abdominal CT revealed an enlarged pancreas. These findings led to a diagnosis of acute pancreatitis. The following day, urine output had decreased, and pleural and ascitic fluid had accumulated. For these reasons, the patient was transferred to our hospital to receive combination therapy, including arterial infusion therapy with protease inhibitors, antibiotics and continuous hemodiafiltration. The condition of the patient improved, and he was discharged on day 30. Acute pancreatitis should be considered as an early complication after ESWL for urinary tract calculus.
一名62岁男性因右肾盂结石入院接受体外冲击波碎石术（ESWL）。手术过程中，患者主诉右上腹疼痛。当天晚些时候，实验室检查数据显示血清淀粉酶水平升高，腹部CT显示胰腺肿大。这些发现导致诊断为急性胰腺炎。第二天，尿量减少，出现胸腔积液和腹水。由于这些原因，患者被转至我院接受联合治疗，包括使用蛋白酶抑制剂进行动脉灌注治疗、抗生素治疗和持续血液透析滤过。患者病情好转，于第30天出院。急性胰腺炎应被视为尿路结石ESWL术后的早期并发症。
