Limon Onder, Kantar Funda Ugur, Sahin Erkan, Arslan Murat, Ugurhan Aslı Aydınoglu
Izmir University, Faculty of Medicine, Department of Emergency Medicine, Medical Park Izmir Hastanesi, Yeni Girne Blv. 1825 Sk. No: 12 Karşıyaka, 35530 İzmir, Turkey.
Izmir University, Faculty of Medicine, Department of Gastroenterology, Medical Park Izmir Hastanesi, Yeni Girne Blv. 1825 Sk. No: 12 Karşıyaka, 35530 İzmir, Turkey.
Am J Emerg Med. 2014 Nov;32(11):1436.e3-4. doi: 10.1016/j.ajem.2014.04.026. Epub 2014 Apr 16.
Extracorporeal shock wave lithotripsy (ESWL) is considered the treatment of choice for most renal and upper ureteral stones. Although extensive data have documented its safety, serious complications have been reported in 1% of patients, including acute pancreatitis, perirenal hematoma, urosepsis, venous thrombosis, biliary obstruction, bowel perforation, lung injury, and rupture of aortic aneurysms. Here, we report a 41-year-old woman who underwent ESWL for a calculus at the right renal pelvis and immediately developed acute pancreatitis after the procedure. Although the possibility of post-ESWL acute pancreatitisis extremely low, physicians must be aware of this complication in emergency departments.
体外冲击波碎石术（ESWL）被认为是大多数肾和输尿管上段结石的首选治疗方法。尽管大量数据证明了其安全性，但仍有1%的患者报告出现严重并发症，包括急性胰腺炎、肾周血肿、尿脓毒症、静脉血栓形成、胆管梗阻、肠穿孔、肺损伤和主动脉瘤破裂。在此，我们报告一名41岁女性，她因右肾盂结石接受了ESWL治疗，术后立即发生急性胰腺炎。尽管ESWL后发生急性胰腺炎的可能性极低，但急诊科医生必须意识到这种并发症。
