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Nephrol Dial Transplant (2000) 15: 409-411
© 2000 European Renal Association-European Dialysis and Transplant Association

Brief Report

Intestinal pseudo-obstruction following renal stone extracorporeal lithotripsy in a diabetic patient

Adamasco Cupisti1, Roberto Spisni2, Francesco Carlino2, Ester Morelli1, Fabio Zampieri2, Mario Meola1 and Giuliano Barsotti1

1 Dipartimento di Medicina Interna and 2 Dipartimento di Chirurgia, Università di Pisa, Pisa, Italia

Correspondence and offprint requests to: Dott. Adamasco Cupisti, Dipartimento di Medicina Interna, Universita' di Pisa, via Roma 67, I-56100 Pisa, Italia.

Keywords: adynamic ileus; lithotripsy; pseudo-obstruction; renal stones



   Introduction
 
Extracorporeal shock wave lithotripsy (ESWL) is the first choice treatment for renal calculi. Up to now, this approach was appropriate for almost all cases of urolithiasis whereas traditional surgery or percutaneous procedure were indicated only in a small number of complicated patients [1]. The efficacy and safety of ESWL have largely improved, although this procedure is not totally free from unwanted side effects or complications. Urinary tract obstruction, gross haematuria, subcapsular or perirenal haematoma, colic pain and infections are the most frequent complications and are seldom severe [2,3]. Extrarenal injuries including pancreatitis, splenic rupture, pulmonary contusions, colonic mucosal ecchymoses or cardiac . . . [Full Text of this Article]



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