Pancreatic extracorporeal shock wave lithotripsy for a patient concurrent with autosomal dominant polycystic kidney disease: a case report.

Abstract

Whether pancreatic extracorporeal shock wave lithotripsy (ESWL) is safe for patients with autosomal dominant polycystic kidney disease (ADPKD) is unclear. A woman in her early 30s was admitted to our hospital because of intermittent upper abdominal pain and recurrent pancreatitis. The imaging results confirmed the diagnosis of pancreatic stones and ADPKD. We performed pancreatic ESWL using a third-generation lithotripter to pulverize the pancreatic stones. A maximum of 5000 shock waves was delivered per therapeutic session. A second session of ESWL was performed the next day. The patient developed no adverse events or complications related to pancreatic ESWL. Three years after treatment, the patient had developed no relapse of pancreatitis or abdominal pain. Shock waves do not lead to complications such as hematuria, cyst rupture, or deterioration of the inner bleeding of renal cysts. Multiple kidney cysts are not a contraindication for pancreatic ESWL.

• Authors: Dan Wang, Jing Xu, Ya-Wei Bi, Chang-Lin Mei, Zhao-Shen Li, Liang-Hao Hu
• Journal: The Journal of international medical research (J Int Med Res) Vol. 50 Issue 5 Pg. 3000605221100748 (May 2022) ISSN: 1473-2300 [Electronic] England
• PMID: 35634907 (Publication Type: Case Reports, Journal Article)

Topics

• Abdominal Pain (complications, therapy)
• Calculi
• Female
• Humans
• Lithotripsy (adverse effects)
• Neoplasm Recurrence, Local (etiology)
• Pancreatic Ducts
• Pancreatitis (complications)
• Polycystic Kidney, Autosomal Dominant (complications, therapy)