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Liu Y, Hao L, Wang T, Li ZS, Xu ZL, Hu LH. Colonic hematoma after extracorporeal shock wave lithotripsy for pancreatic stones: a case report. BMC Gastroenterol 2019; 19:208. [PMID: 31801483 PMCID: PMC6894139 DOI: 10.1186/s12876-019-1117-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 11/13/2019] [Indexed: 01/22/2023] Open
Abstract
Background Despite pancreatic extracorporeal shock wave lithotripsy (P-ESWL) is a minimally invasive treatment for pancreatic stones, complications exist. Case presentation A 37-year-old male was diagnosed with chronic pancreatitis and admitted to our hospital for recurrent acute pancreatitis. After the first P-ESWL session, the patient complained of a new type of pain different from the previous pain pattern. Computerized tomography and colonoscopy were arranged and colonic hematoma was found. Since the patient had stable vital signs, no special treatment was given focusing on the colonic hematoma. Five days later, P-ESWL treatment was repeatedly performed for four consecutive days. Two days after the last P-ESWL session, the patient underwent endoscopic retrograde cholangiopancreatography. At the three-month follow up visit, the colonic hematoma disappeared and pancreatic stones decreased significantly. Conclusions To the best of our knowledge, colonic hematoma after P-ESWL for pancreatic stones has never been reported. Here, we present the only case of colonic hematoma after P-ESWL, which was coincidentally found in more than 6000 P-ESWL sessions in our hospital. As the symptoms of colonic hematoma are mild, we believe the incidence of colonic hematoma has been underestimated. Many people with colonic hematoma after P-ESWL may be undiagnosed or misdiagnosed. Treatment for colonic hematoma depends on whether there is severe clinical state. Exploration of more precise location method for pancreatic stones may reduce the probability of P-ESWL complication.
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Affiliation(s)
- Yu Liu
- Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.,Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China
| | - Lu Hao
- Department of Gastroenterology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Teng Wang
- Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.,Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China
| | - Zhao-Shen Li
- Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China. .,Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
| | - Zheng-Lei Xu
- Department of Gastroenterology, The Second Clinical Medical College (Shenzhen People's Hospital), Jinan University, 1017 North Dongmen Road, Shenzhen, Guangdong, China.
| | - Liang-Hao Hu
- Department of Gastroenterology, Gongli Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China. .,Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, 800 Xiangyin Road, Shanghai, 200433, China.
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Romano S, Scaglione M, Tortora G, Martino A, Di Pietto F, Romano L, Grassi R. MDCT in blunt intestinal trauma. Eur J Radiol 2006; 59:359-66. [PMID: 16797906 DOI: 10.1016/j.ejrad.2006.05.011] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2006] [Accepted: 05/24/2006] [Indexed: 10/24/2022]
Abstract
Injuries to the small and large intestine from blunt trauma represent a defined clinical entity, often not easy to correctly diagnose in emergency but extremely important for the therapeutic assessment of patients. This article summarizes the MDCT spectrum of findings in intestinal blunt lesions, from functional disorders to hemorrhage and perforation.
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Affiliation(s)
- Stefania Romano
- Department of Diagnostic Imaging, "A.Cardarelli" Hospital, 80131 Naples, Italy.
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Geukens D, Danse E, Verschuren F, Kartheuser A, Mauel E, Laterre PF. [Traumatic perforation of the sigmoid colon: role of computed tomography]. JOURNAL DE RADIOLOGIE 2005; 86:663-5. [PMID: 16142033 DOI: 10.1016/s0221-0363(05)81425-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The authors report a case of a delayed traumatic perforation of the sigmoid colon, presenting three days after a motor vehicle accident. A review of the literature is presented.
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Affiliation(s)
- D Geukens
- Département de Radiologie, Université Catholique de Louvain, Cliniques Universitaires St Luc, Bruxelles, Belgique
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