Ramsey ML. et al., 2022: Hepatic Abscess After Pancreatic Extracorporeal Shock Wave Lithotripsy.
Ramsey ML, Bender M, Lara LF, Han S.
Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH.
We report the case of a 61-year-old woman with painful chronic pancreatitis related to proximal pancreatic duct pancreatolithiasis who underwent successful fragmentation with pancreatic extracorporeal shock wave lithotripsy (ESWL). Two weeks later, she developed abdominal pain, nausea, and vomiting and was found to have a new 4.6 × 2.3 cm hepatic abscess. She was treated with antibiotics but did not require additional intervention. Reported etiologies of post-ESWL abdominal pain include local irritation and bruising at the interface and pancreatitis, which has been reported in 4.2% of cases. We suggest that hepatic abscess ought to be considered in the differential diagnosis of post-ESWL abdominal pain.
ACG Case Rep J. 2022 Oct 18;9(10):e00896. doi: 10.14309/crj.0000000000000896. eCollection 2022 Oct. PMID: 36277738. FREE ARTICLE.
The authors describe a liver abscess diagnosed after SWL of a stone in the pancreas head. This is the only case of such a complication reported in the literature. Nevertheless, it might be important to keep this rare complication in mind when patients return after SWL with acute abdominal pain.