Bakoyiannis C et al, 2012: Superior mesenteric artery dissection after extracorporeal shockwave lithotripsy
Bakoyiannis C, Anastasiou I, Koutsoumpelis A, Fragiadis E, Felesaki E, Kafeza M, Georgopoulos S, Tsigris C
Vascular Unit, First Department of Surgery, Laiko General Hospital, University of Athens, Athens, Greece
Abstract
The use of shockwave lithotripsy is currently the mainstay of treatment in renal calculosis. Several complications including vessel injuries have been implied to extracorporeal shockwave lithotripsy. We report an isolated dissection of the superior mesenteric artery in a 60-year-old male presenting with abdominal pain which occurred three days after extracorporeal shockwave lithotripsy. The patient was treated conservatively and the abdominal pain subsided 24 hours later. The patient's history, the course of his disease, and the timing may suggest a correlation between the dissection and the ESWL.
Case Rep Vasc Med. 2012;2012:168046. doi: 10.1155/2012/168046. Epub 2012 Dec 13
PMID:23304627 [PubMed] PMCID:PMC3530795. FREE ARTICLE
Comments 1
In publications like this or the one by Weng et al. (Severe acute pancreatitis with abscess after extracorporeal shock wave lithotripsy: a rare complication. Urolithiasis. 2013; 41:133-136) reviewed above one would like to have information about the position of F2, focal size and the direction of the shock wave.
Peter Alken