Misleading abdominal pain following extracorporeal renal lithotripsy.
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.
Chhor
Vibol
V
Université Paris Descartes, Service d'Anesthésie-Réanimation, Pôle Anesthésie-Réanimation-Recherche Clinique, Hôpital Européen Georges Pompidou, Paris, France. vchhor@invivo.edu
Sinaceur
Mériem
M
Journois
Didier
D
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*