BILATERAL PSOAS ABSCESS AFTER EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY: REMINDER OF A RARE COMPLICATION

Sidra Zafar, Syed Usman Bin Mahmood, Arsal Tharwani, Noreen Nasir

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, Complication


Full Text:

PDF

References


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.


Refbacks

  • There are currently no refbacks.


Contact Number: +92-992-382571

email: [jamc] [@] [ayubmed.edu.pk]