Acute Pancreatitis and Septic Shock Complicated after Ureteroscopic Stone Removal in a Patient with Ureter Stones / 대한신장학회지

ABSTRACT

Being relatively safe, Ureteroscopy is one of the techniques most widely used for upper urinary tract diseases. Two cases of acute pancreatitis following percutaneous nephrolithotomy have been reported, but in neither case was there any complications after ureteroscopic procedure in patients with percutaneous nephrostomy. A 49-year-old male was presented with sudden onset of fever and decreased mental activity just after ureteroscopic stone removal. He had received nephrolithotomy for staghorn calculus six months before and received percutaneous nephrostomy 2 months before. Urine and blood cultures showed Citrobacter freundii and serum amylase and lipase increased to 6,067 IU/L, 1,270 IU/L, respectively. Abdominal CT scan demonstrated perinephric inflammatory fluid collection and its direct extension to the tail portion of pancreas. With medical treatment including adequate antibiotics, urosepsis and acute pancreatitis was completely cured.