ArticleThe Pan African medical journal2025
Small bowel perforation and peritonitis: a rare life-threatening complication of extracorporeal shock wave lithotripsy (case report).
Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Extracorporeal shock wave lithotripsy (ESWL) is a cornerstone non-invasive therapy for urolithiasis. While major complications are rare, bowel perforation represents a serious life-threatening event. We present the case of a 36-year-old male with a history of recurrent renal stones who developed an acute abdomen four hours after supine ESWL for a right proximal ureteral calculus. Computed tomography revealed pneumoperitoneum and mesenteric stranding. Emergency laparotomy confirmed a jejunal perforation with secondary peritonitis, which was managed with primary repair and ureteral stenting. The patient made a full recovery. This case highlights a severe but rare complication of a common urological procedure. It underscores the critical need for high clinical suspicion in any patient presenting with abdominal pain post-ESWL, as prompt diagnosis via cross-sectional imaging and immediate surgical intervention are paramount for survival. A multidisciplinary approach is essential for optimal management.
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