BILATERAL PSOAS ABSCESS AFTER EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY: REMINDER OF A RARE COMPLICATION
Abstract
Extracorporeal shock wave lithotripsy (ESWL) is among the most widely used modalities for treatment of urolithiasis since its introduction in the 1980s. The non-invasive technique reduces the risk of post-procedure complications and produces excellent stone free rates. However, complications may still follow and albeit rare, there are reports in literature of abscess formation post ESWL. Herein, we report the case of a young, immunocompetent gentleman who developed bilateral psoas abscess after undergoing this procedure. He was successfully managed at our institute with intravenous antibiotics, percutaneous abscess drainage and was discharged on day 5 post-intervention in a stable condition. There have been two similar cases reported in literature.Keywords: Extracorporeal shock wave lithotripsy, ESWL; Psoas abscess; abscess, ComplicationReferences
Chaussy C, Schüller J, Schmiedt E, Brandl H, Jocham D, Liedl B. Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology 1984;23(5):59–66.
Skolarikos A, Alivizatos G, de la Rosette J. Extracorporeal Shock Wave Lithotripsy 25 Years Later: Complications and Their Prevention. Eur Urol 2006;50(5):981–90.
McAteer JA, Evan AP. The Acute and Long-Term Adverse Effects of Shock Wave Lithotripsy. Semin Nephrol 2008;28(2):200–13.
Pearle MS, Lingeman JE, Leveillee R, Kuo R, Preminger GM, Nadler RB, et al. Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. J Urol 2005;173(6):2005–9.
Baumgartner BR, Dickey KW, Ambrose SS, Walton KN, Nelson RC, Bernardino ME. Kidney changes after extracorporeal shock wave lithotripsy: appearance on MR imaging. Radiology 1987;163(2):531–4.
Rubin JI, Arger PH, Pollack HM, Banner MP, Coleman BG, Mintz MC, et al. Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation. Radiology 1987;162(1 Pt 1):21–4.
Mira Moreno A, Montoya Lirola MD, García Tabar PJ, Galiano Baena JF, Tenza Tenza JA, Lobato Encinas JJ. Incidence of Infectious Complications after Extracorporeal Shock Wave Lithotripsy in Patients Without Associated Risk Factors. J Urol 2014;192(5):1446–9.
Weng CH, Ho PY, Tsai CC, Hsu JM, Chen M, Lin WR. Severe acute pancreatitis with abscess after extracorporeal shock wave lithotripsy: a rare complication. Urolithiasis 2013;41(2):133–6.
Karamalegos AZ, Diokno AC, Moylan DE. Formation of perinephric abscess following extracorporeal shock-wave lithotripsy. Urology 1989;34(5):277–80.
Fugita OE, Trigo-Rocha F, Mitre AI, Arap S. Splenic rupture and abscess after extracorporeal shock wave lithotripsy. Urology 1998;52(2):322–3.
D'Addessi A, Vittori M, Racioppi M, Pinto F, Sacco E, Bassi P. Complications of extracorporeal shock wave lithotripsy for urinary stones: To know and to manage them - a review. ScientificWorldJournal 2012;2012:619820.
Davidson T, Tung K, Constant O, Edwards L. Kidney Rupture and Psoas Abscess after ESWL. Br J Urol 1991;68(6):657–8.
Qureshi F, Thompson PM. Psoas Abscess Following Extracorporeal Shock Wave Lithotripsy. Scand J Urol Nephrol 1998;32(3):237–8.
Chern CH, Hu SC, Kao WF, Tsai J, Yen D, Lee CH. Psoas abscess: Making an early diagnosis in the ED. Am J Emerg Med 1997;15(1):83–8.
Zissin R, Gayer G, Kots E, Werner M, Shapiro-Feinberg M, Hertz M. Iliopsoas abscess: a report of 24 patients diagnosed by CT. Abdom Imaging 2001;26(5):533–9.
Navarro Lopez V, Ramos JM, Meseguer V, Perez Arellano JL, Serrano R, Garcia Ordonez MA, et al. Microbiology and outcome of iliopsoas abscess in 124 patients. Medicine (Baltimore) 2009;88(2):120–30.
Downloads
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.