title: Perforation of the bowel during SWL in prone position.
abstract: Perforation of the small bowel during SWL is reported for the first time. The patient was treated in the prone position for a ureteral stone with 4500 shockwaves. There were no underlying or predisposing factors for the damage to the gut with the exception of the large number of shockwaves at a high energy setting. It is concluded that SWL in the prone position with shockwaves traversing the peritoneal cavity carries a risk of damage to the bowel. A reduction of the number of shockwaves and the energy level should be considered in this setting.
authors.affiliation: Department of Urology & Andrology, Umeå University Hospital, Sweden.
authors.forename: G
authors.initials: G
authors.lastname: Holmberg
authors.forename: S
authors.initials: S
authors.lastname: Spinnell
authors.forename: J G
authors.initials: JG
authors.lastname: Sjödin
mesh_terms: D000368:Aged; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D016684:Prone Position