Kolonperforation nach extrakorporaler Stoßwellenlithotripsie

Kurz, W; Klein, Bruce L.; Rumstadt, B.

doi:10.1055/s-0028-1124012

Cited by 6 publications

(7 citation statements)

References 10 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%

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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%

“…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%

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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“…4 Serious complications are rare but do occur with adjacent organ injury, like colonic perforation, pancreatitis, splenic rupture. 5,6,7 Spontaneous ureteral rupture is even rarer especially after ESWL. 3 Spontaneous ureteral rupture is by definition an extravasation of urine from the ureter without previous surgery, ureteric manipulation and external trauma of the ureter.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous ureteral rupture after extracorporeal shock wave lithotripsy: a case with review of literature

Zhang¹

2019

UNOAJ

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Objective: To study the diagnosis and treatment of spontaneous ureteral rupture after extracorporeal shock wave lithotripsy (ESWL).Methods: A case of spontaneous ureteral rupture after ESWL was analyzed retrospectively. A 30-year-old male presented to the emergency clinic with severe and progressive right flank pain for the last 24 hours. He did not complain of frequent urination, painful urination, hematuria, fever, dysuria. He underwent ESWL of right renal stone 4 days ago. Physical examination showed tenderness in the right abdomen and percussion pain in the right renal area. His leukocyte count and neutrophils and lymphocytes were 22.36* 10 9 /L, 92.0%, 6.3%, respectively; blood urea nitrogen and blood creatinine were 9.0 mmol/L, 166 umol/L respectively. His ultrasound was suggestive of right hydronephrosis and right distal ureteral stones and a small perinephric fluid. No improvement, treated by a medical expulsive therapy for 2 days. CTU (Computed Tomography Urography) showed the right upper ureteral rupture and right hydronephrosis and right lower ureteral stones. Holmium laser lithotripsy under ureteroscope was performed under general anesthesia and double J stent was inserted. Results:The operation was a success. His routine blood and serum creatinine returned to normal 6 days later. Another day later, CTU showed less right hydronephrosis than before and no perinephric fluid and no ureteral stones. His catheter was removed 10 days later and was discharged without any complications. The double-J stent was removed 6 weeks later. Conclusion:Spontaneous ureteral rupture after ESWL is a rare entity. It can cause serious complications, including urinoma, kidney damage, sepsis. A careful clinical and ultrasound or CTU monitoring with a high index of suspicion of it is necessary after each ESWL therapy. The prompt treatment of the condition will achieve good results.

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Kolonperforation nach extrakorporaler Stoßwellenlithotripsie

Cited by 6 publications

References 10 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

Spontaneous ureteral rupture after extracorporeal shock wave lithotripsy: a case with review of literature

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