Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 82-86, 2016.
Article
em Ko
| WPRIM
| ID: wpr-23589
Biblioteca responsável:
WPRO
ABSTRACT
48-year-old woman was admitted to emergency room due to left flank pain. It was diagnosed with left ureteral stone and underwent extracorporeal shock wave lithotripsy (ESWL). However, 12 hours later, the patient complained acute upper abdominal pain with pulmonary edema and low blood pressure. A diagnosis of moderate acute pancreatitis with local complication was considered and we decided conservative therapy including fluid resuscitation, inotropics and antibiotics. It was suggested that ESWL was responsible for the acute pancreatitis. The patient gradually recovered and was discharged on 13th day of admission. ESWL is considered the standard treatment for urolithiasis. Although, it has proved to be safe and effective, serious complications have been reported in 1% of patients, including acute pancreatitis, perirenal hematoma, urosepsis, venous thrombosis, biliary obstruction, bowel perforation, lung injury, and cardiac arrhythmia. Although the possibility of post-ESWL acute pancreatitis is extremely low, physicians should take care of this complication.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pancreatite
/
Arritmias Cardíacas
/
Edema Pulmonar
/
Ressuscitação
/
Choque
/
Ureter
/
Litotripsia
/
Dor Abdominal
/
Trombose Venosa
/
Dor no Flanco
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2016
Tipo de documento:
Article