Dünndarmperforation nach Nephro-Uretero-Lithotripsie durch ESWL – eine seltene Komplikation

Kurtz, V; Müller-Sorg, M; Federmann, G

doi:10.1007/s001040050649

Cited by 11 publications

(5 citation statements)

References 4 publications

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“…A total of 16 cases have been reported in the literature since 1997 [12][13][14][15][16][17][18][20][21][22][23][24][25][26][27]. Demographics are summarised in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…The interval from the procedure to the onset of symptoms varied between a few hours and 2 days, with the typical presentation being acute abdominal pain with tenderness at physical examination. Patient's management was surgical from the beginning in 12 cases because of clinical signs of peritonitis [12][13][14]17,18,20,21,24,27]. Only in four cases [19,22,23,25] was conservative management with antibiotic initially preferred.…”

Section: Discussionmentioning

confidence: 99%

“…While gastrointestinal damage has been described as a rare complication of ESWL, the actual incidence is unknown. Bowel perforations are uncommon, having been reported in only 16 cases in the literature to our knowledge [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

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Bowel Perforation after Extracorporeal Wave Lithotripsy: A Review of the Literature

Fontanet

Farré

Angerri

et al. 2023

JCM

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Introduction: Extracorporeal wave lithotripsy (ESWL) is considered a first-line treatment for renal and ureteral stones up to 10–20 mm in diameter. Complications are uncommon, with a reported rate of 0–6% in the literature. Bowel perforation has only been described in a few case reports but requires rapid diagnosis and treatment. Methods: A review of the literature from PubMed/Medline, Embase, Cochrane, and Web of Science databases was performed including studies reporting bowel perforation secondary to ESWL between January 1990 and June 2022. Results: We found 16 case reports of intestinal perforation in the literature. Although some patients had previously undergone abdominal surgery or had inflammatory intestinal disease, others were without comorbidities that could lead to complications. Abdominal pain was the main symptom and imaging was required to confirm the diagnosis, which usually necessitated a surgical intervention. As regards the ESWL technique, it appears that the combination of a high energy level and the prone position constitutes a risk factor for these rare complications. At the authors’ centre, only one case has been reported among 24,000 ESWL procedures over 20 years: A 59-year-old female who underwent ESWL for a distal right ureteral stone presented acute abdominal pain and free intraperitoneal pelvic fluid on ultrasound. A CT scan revealed a small bowel perforation requiring open laparotomy with primary closure. Conclusions: In conclusion, although bowel perforation after ESWL is rare, progressive abdominal pain with tenderness at physical examination requires proper imaging evaluation to exclude bowel perforation and prompt intervention if required.

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“…A total of 16 cases have been reported in the literature since 1997 [12][13][14][15][16][17][18][20][21][22][23][24][25][26][27]. Demographics are summarised in Table 1.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bowel Perforation after Extracorporeal Wave Lithotripsy: A Review of the Literature

Fontanet

Farré

Angerri

et al. 2023

JCM

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“…Injuries to surrounding organs are also very rare, but stray reports of the injury to the lungs, liver [15], pancreas [17], descending colon [18] and intestine [19], even dissection of abdominal aorta [20] were presented. Renal failure [21] needing dialysis has been reported after bilateral ESWL, but uncontrolled infection may impede the effect of dialysis, as in our case 1.…”

Section: Discussionmentioning

confidence: 99%

Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for

Xiang-bo¹,

Zhang²

2020

IJCU

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Between November 2007 and July 2019, four cases with serious complications after ESWL were transfer to our emergency department, the First Hospital of Lanzhou University, a western Hospital of China. Because urosepsis, hypovolemic shock or acute renal function failure, three of these patients died within 14.5 hours (14.5 hours, 48 minutes, and 58 minutes, respectively, mean 5.4 h) after they were admitted. The ESWL missions for these three patients were 4, 7 and 5, with a time interval of 2, 4 and 4 weeks accordingly. An exploratory laparotomy had to perform on the last patient and a ruptured left kidney was confirmed accompany with pyogenic infection during the operation. She died at the seventh day after been admitted. So iatrogenic injury caused by over-treatment and without systemic follow up may be the main cause of these death cases. Clinical data were summarized and literature was reviewed. We found, although ESWL is a simple, safe and effective procedure for the management of urolithiasis, unnecessary hurt will occur when it was used inappropriately. So indispensable attention must be pay on its possible side effects, especially for over-treatment. Well-trained ESWL physicians may be necessary for ESWL profession, which may reduce the incidence rate of severe complications in the ESWL treatment effectively.

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“…Small bowel perforations are extremely rare events. There are three documented cases in the reviewed literature [12, 13, 14]. …”

Section: Discussionmentioning

confidence: 99%

Small Bowel Perforation after Extracorporeal Shockwave Lithotripsy of an Ureter Stone

Klug¹,

Kurz²,

Dunzinger

et al. 2001

Dig Surg

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A 60-year-old man was treated by extracorporeal shock wave lithotripsy (ESWL) for an impacted ureterstone. Two days after the procedure he developed an acute abdomen. On laparotomy, a small bowel perforation in the area of an adhesion to the abdominal wall was found. The adherent intestinal segment was located exactly in the range of the ESWL field, so that excluding further reasons the shockwave lithotripsy must be assumed to be causative.

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Dünndarmperforation nach Nephro-Uretero-Lithotripsie durch ESWL – eine seltene Komplikation

Cited by 11 publications

References 4 publications

Bowel Perforation after Extracorporeal Wave Lithotripsy: A Review of the Literature

Bowel Perforation after Extracorporeal Wave Lithotripsy: A Review of the Literature

Serious Complications Following Lithotripsy - An Iatrogenic Injury Need to Be Care for

Small Bowel Perforation after Extracorporeal Shockwave Lithotripsy of an Ureter Stone

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