Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, Shanghai, China.
Department of Nephrology, Kidney Institute of Chinese PLA, Changzheng Hospital, Second Military Medical University, Shanghai, China.
J Int Med Res. 2022 May;50(5):3000605221100748. doi: 10.1177/03000605221100748.
Whether pancreatic extracorporeal shock wave lithotripsy (ESWL) is safe for patients with autosomal dominant polycystic kidney disease (ADPKD) is unclear. A woman in her early 30s was admitted to our hospital because of intermittent upper abdominal pain and recurrent pancreatitis. The imaging results confirmed the diagnosis of pancreatic stones and ADPKD. We performed pancreatic ESWL using a third-generation lithotripter to pulverize the pancreatic stones. A maximum of 5000 shock waves was delivered per therapeutic session. A second session of ESWL was performed the next day. The patient developed no adverse events or complications related to pancreatic ESWL. Three years after treatment, the patient had developed no relapse of pancreatitis or abdominal pain. Shock waves do not lead to complications such as hematuria, cyst rupture, or deterioration of the inner bleeding of renal cysts. Multiple kidney cysts are not a contraindication for pancreatic ESWL.
胰腺体外冲击波碎石术 (ESWL) 是否对常染色体显性多囊肾病 (ADPKD) 患者安全尚不清楚。一位 30 多岁的女性因间歇性上腹痛和复发性胰腺炎而入院。影像学结果证实了胰腺结石和 ADPKD 的诊断。我们使用第三代碎石机对其进行胰腺 ESWL，以粉碎胰腺结石。每次治疗最多可发射 5000 次冲击波。第二天进行了第二次 ESWL 治疗。患者未发生与胰腺 ESWL 相关的不良事件或并发症。治疗 3 年后，患者未出现胰腺炎或腹痛复发。冲击波不会导致血尿、囊肿破裂或肾囊肿内出血恶化等并发症。多发性肾囊肿不是胰腺 ESWL 的禁忌症。
