scholarly journals Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093160
Author(s):  
Xin Wang ◽  
Bowen Zhang ◽  
Yunfeng Zhu ◽  
Hongwei Ge
Keyword(s):  
Computed Tomography ◽  
Abdominal Aorta ◽  
Aortic Rupture ◽  
Rare Complication ◽  
Chinese Patient ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Ureteral Calculi ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Enhanced Computed Tomography

Extracorporeal shockwave lithotripsy (ESWL) is a common and effective treatment method for most renal and upper ureteral calculi. Aortic rupture after ESWL is an extremely rare complication. Seven cases of aortic rupture have been reported to date, and only one case involved the rupture of a calcified abdominal aorta. We herein describe a Chinese patient who was hospitalized for rupture of the abdominal aorta 5 days after ESWL for right ureteral calculi. The patient was transferred to the Department of Vascular Surgery and underwent emergency endovascular aortic repair. The patient’s recovery was unremarkable. One week after the operation, enhanced computed tomography showed that the size of the hematoma around the periaortic area was constant, and repeat enhanced computed tomography 1 month later showed that the hematoma had been significantly absorbed. ESWL may cause rupture of a heavily calcified abdominal aorta. We suggest that all patients with atherosclerosis being considered for ESWL should be evaluated by imaging examinations both preoperatively and during follow-up.

940 Mesenteric Haematoma Complicated by A Perforated Sigmoid Diverticulum Following Extracorporeal Shockwave Lithotripsy

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
P Sorooshian ◽  
A Luangsomboon ◽  
B Al-Robaie
Keyword(s):  
Abdominal Pain ◽  
Renal Stone ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Sudden Onset ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
End Colostomy ◽  
Left Hemi

Abstract A 78 year old female presented with sudden onset lower abdominal pain, vomiting and fresh rectal bleeding. She had undergone extracorporeal shockwave lithotripsy (ECSL) for a left renal stone two weeks earlier and was taking Rivaroxaban for atrial fibrillation. A CT Abdomen & Pelvis revealed a large mesenteric haematoma and a contained sigmoid perforation secondary to compressive forces of the haematoma on the sigmoid artery, resulting in ischaemia. While mesenteric angiogram-guided embolisation initially controlled the active sigmoid artery bleed, the patient clinically deteriorated the following day warranting a laparotomy. This revealed an ischaemic sigmoid colon with contained faeculent material within the mesentery. An extended left hemi-colectomy with end-colostomy was performed. Despite optimal critical care input, the patient developed multi-organ failure and passed away one week later. Mesenteric haematoma should be considered as a rare complication in patients with sudden onset abdominal pain following ECSL; especially with concurrent anti-coagulation use.

scholarly journals Perinephric Hematoma with Active Arterial Hemorrhage following Extracorporeal Shockwave Lithotripsy

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Edward Assaf ◽  
Rawad Abou Zahr ◽  
Elie Ghabi ◽  
Imad Ghantous
Keyword(s):  
Rare Complication ◽  
Arterial Embolization ◽  
Renal Stones ◽  
Acute Onset ◽  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Contrast Extravasation ◽  
Extracorporeal Shockwave ◽  
Arterial Bleeding ◽  
Arterial Hemorrhage

Subcapsular hematoma is an exceedingly rare complication of extracorporeal shockwave lithotripsy (ESWL) for renal stones with cases demonstrating evidence of active arterial bleeding even more so. A 49-year-old male presented with acute onset right flank pain two hours following ESWL. CT scan with contrast revealed active contrast extravasation consistent with arterial bleeding. The patient was managed with arterial embolization and recovered uneventfully following a 4-day hospitalization.

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