title: Misleading abdominal pain following extracorporeal renal lithotripsy.
abstract: BACKGROUND
  Extracorporeal shockwave lithotripsy (ESWL) is a useful technique for the treatment of kidney and urinary tract stones but appears also to cause some extrarenal complications.
  
  
  METHODS
  We report the case of a 33-year-old Caucasian man with a history of Crohn's disease who presented septic shock due to a jejunum perforation 6 h following an ESWL for a right ureteral stone. The perforation, which occurred at the exact site of a previous surgical anastomosis, was revealed on a CT scan which found an unusual aspect probably due to cavitation and bubbles formation induced by ESWL.
  
  
  CONCLUSIONS
  This case emphasizes the particular aspect of CT scan and the extrarenal potential danger of the ESWL procedure. Some precautions and dedicated patient information must be taken when used in patients with chronic inflammation of the digestive tract or history of intestinal surgery.
authors.affiliation: Université Paris Descartes, Service d'Anesthésie-Réanimation, Pôle Anesthésie-Réanimation-Recherche Clinique, Hôpital Européen Georges Pompidou, Paris, France. vchhor@invivo.edu
authors.forename: Vibol
authors.initials: V
authors.lastname: Chhor
authors.forename: Mériem
authors.initials: M
authors.lastname: Sinaceur
authors.forename: Didier
authors.initials: D
authors.lastname: Journois
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000209:etiology*; D007583:Jejunum / Q000293:injuries*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D012772:Shock, Septic / Q000209:etiology*