SWL literature
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Ya Wei B et al, 2017: Hepatic Subcapsular Hematoma Breaking into the Abdominal Cavity after Extracorporeal Shock Wave Lithotripsy for Pancreatic Stones.

Ya Wei B, Wang D, Du TT, Liao Z, Li ZS, Hu LH.
Department of Gastroenterology, Changhai Hospital, the Second Military Medical University, Shanghai, China.
Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, Shanghai, China.

Abstract

Pancreatic extracorporeal shock wave lithotripsy (P-ESWL) has been recommended for the management of large pancreatic stones. It is considered to be a noninvasive and low morbidity procedure. However, despite its minimal invasiveness, it does have complications.

J Dig Dis. 2017 Jul 27. doi: 10.1111/1751-2980.12510. [Epub ahead of print]

 

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Comments 1

Hans-Göran Tiselius on Wednesday, 10 January 2018 08:57

This article describes the extremely unusual complication of a hepatic subcapsular hematoma as a consequence of SWL for pancreatic stones. In this case the hematoma also ruptured into the abdominal cavity. The rarity of this complication might perhaps best be considered against the background of the authors’ experience of 6000 (!) patients with pancreatic stones treated with SWL.
The blood loss with this complication was considerable and when pancreatic stones are treated it seems wise to observe the patient during the 24-48 hours following the SWL session (reviewer’s comment).

This article describes the extremely unusual complication of a hepatic subcapsular hematoma as a consequence of SWL for pancreatic stones. In this case the hematoma also ruptured into the abdominal cavity. The rarity of this complication might perhaps best be considered against the background of the authors’ experience of 6000 (!) patients with pancreatic stones treated with SWL. The blood loss with this complication was considerable and when pancreatic stones are treated it seems wise to observe the patient during the 24-48 hours following the SWL session (reviewer’s comment).
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