Pancreatitis aguda como complicación infrecuente de litotricia extracorpórea por ondas de choque.

Comunicación de un caso

  • Eduardo Moreira Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Alejandra Suárez Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Martín Viettro Uruguay, Sanatorio COMTA, Médico de guardia.
  • Nelcio Martínez Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista.
  • Edgar Ferreira Uruguay, Sanatorio COMTA, Cirujano de guardia.
  • Jorge Baraibar Uruguay, Sanatorio COMTA, Unidad de Cuidados Intensivos, Médico Intensivista, Jefe.
Palabras clave: PANCREATITIS AGUDA, LITOTRICIA, ONDAS DE CHOQUE DE ALTA ENERGÍA, TRAUMA PANCREÁTICO

Resumen

La litotricia extracorpórea por ondas de choque para el tratamiento de la urolitiasis es un tratamiento ampliamente aceptado, pero no exento de complicaciones. La pancreatitis aguda que se desencadena inmediatamente posterior a este procedimiento es infrecuente, pero puede ser una complicación grave que amenaza la vida del paciente. La aparición aguda de dolor abdominal y vómitos en las horas posteriores al procedimiento, deben hacer al médico tratante sospechar esta complicación. Presentamos el caso de un paciente joven que luego de someterse a una sesión de litotricia para el tratamiento de una litiasis renal derecha instaló una pancreatitis aguda que requirió ingreso a terapia intensiva y que se suma a los escasos informes de casos publicados en la literatura médica.

Citas

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Cómo citar
1.
Moreira E, Suárez A, Viettro M, Martínez N, Ferreira E, Baraibar J. Pancreatitis aguda como complicación infrecuente de litotricia extracorpórea por ondas de choque. . Rev. Méd. Urug. [Internet]. 1 [citado 28 de marzo de 2024];36(1):99-105. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/508