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Pancreatitis following ESWL: case report and literature review

Extracorporeal shock wave lithotripsy (ESWL) is a safe, non-invasive procedure used for the treatment of renal and upper ureteric calculi. Complication rates following ESWL are reported to be low, resulting in its widespread use.1 ESWL is now known to induce acute cellular injury in the treated kidney in addition to extrarenal injuries.2 Adjacent organs can sustain collateral injury by the passage of shock waves through the body resulting in serious complications including venous thrombosis, biliary obstruction, splenic rupture, bowel perforation, abdominal aneurysm rupture and acute pancreatitis.3