Mylarappa P et al, 2014: Acute pancreatitis and development of pancreatic pseudo cyst after extra corporeal shock wave lithotripsy to a left renal calculus: A rare case with review of literature
Mylarappa P, Javali T, Prathvi, Ramesh D
Department of Urology, MS Ramaiah Medical College and Hospital, Bangalore, Karnataka, India
Extracorporeal shock wave lithotripsy (SWL) is considered the standard of care for the treatment of small upper ureteric and renal calculi. A few centers have extended its use to the treatment of bile duct calculi and pancreatic calculi. The complication rates with SWL are low, resulting in its wide spread acceptance and usage. However, some of the serious complications reported in 1% of patients include acute pancreatitis, perirenal hematoma, urosepsis, venous thrombosis, biliary obstruction, bowel perforation, lung injury, rupture of aortic aneurysm and intracranial hemorrhage. To our knowledge, only six cases of acute pancreatitis or necrotizing pancreatitis following SWL have been documented in the literature. Herein, we report a rare case of acute pancreatitis and formation of a pseudo cyst following SWL for left renal pelvic calculus.
Indian J Urol. 2014 Jan;30(1):110-2. doi: 10.4103/0970-1591.124219. PMID:24497695[PubMed]. PMCID:PMC3897041. FREE ARTICLE
This is a report of a very rare case of acute pancreatitis and pseudo cyst development. It is good to keep in mind that this complication might occur, but I have not seen any patient with acute pancreatitis despite carrying out or overlooking around 25 000 SWL treatments.