Major Intra-Abdominal Complications Following Extracorporeal Shockwave Lithotripsy (ESWL) in a Patient with Ehlers–Danlos Syndrome

A retroperitoneal bleeding is an unusual complication of extracorporeal shockwave lithotripsy (ESWL), which can be treated in a conservative way most of the time. However, an intra-abdominal bleeding after ESWL is extremely rare, which can cause life-threatening situations and requires an immediate...

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Bibliographic Details
Published inEuropean urology Vol. 42; no. 6; pp. 635 - 636
Main Authors Van der Eecken, H, Schatteman, P, Carpentier, P, Mottrie, A, Fonteyne, E
Format Journal Article
LanguageEnglish
Published Oxford Elsevier B.V 01.12.2002
Elsevier
Subjects
Abdomen
Adult
Biological and medical sciences
Diseases of the urinary system
Ehlers-Danlos Syndrome - complications
Ehlers–Danlos
ESWL
Gastroenterology. Liver. Pancreas. Abdomen
Hemorrhage - etiology
Humans
Intra-abdominal bleeding
Lithotripsy - adverse effects
Male
Medical sciences
Other diseases. Semiology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Vessel rupture
Ehlers–Danlos
Intra-abdominal bleeding
ESWL
Vessel rupture
Skin disease
Retroperitoneal
Diseases of the osteoarticular system
Male
Hemorrhage
Kidney
Ehlers-Danlos
Ehlers Danlos syndrome
Systemic disease
Adult
Complication
Human
Kidney disease
Postoperative
Urinary system disease
Elastic tissue disease
Pathophysiology
Rupture
Instrumentation therapy
Superior mesenteric vein
Urinary stone
Genetic disease
Case study
Abdominal disease
Lithotripsy
Lithiasis
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Summary:A retroperitoneal bleeding is an unusual complication of extracorporeal shockwave lithotripsy (ESWL), which can be treated in a conservative way most of the time. However, an intra-abdominal bleeding after ESWL is extremely rare, which can cause life-threatening situations and requires an immediate intervention. Probably, only patients with a certain tissue fragility or connective tissue disorder are at risk to develop such an intra-abdominal bleeding. We present a case of a serious intra-abdominal bleeding due to a rupture of the vena mesenterica superior in an Ehlers–Danlos patient, evoked by an ESWL.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0302-2838
1873-7560
DOI:10.1016/S0302-2838(02)00441-4