Korean J Neurogastroenterol Motil.  2004 Dec;10(2):144-148.

A Case of Acute Colonic Pseudo-obstruction associated with Extracoporeal Shock Wave Lithotripsy for Ureteral Stone

• Park JC
• Choi MG
• Cho YK
• Han SW
• Kim TW
• Han HW
• Kim SH
• Lee IS
• Kim SW
• Chung IS

Abstract

A 54-year-old male was admitted because of abdominal pain and distension. Four days prior to admission, he visited the emergency room for flank pain, and was diagnosed as having a ureteral stone. With conservative therapy, including anticholinergics and diazepam, pain was relieved and the patient was discharged. After discharge, diffuse abdominal pain developed, and he could not defecate for three days. On the day of admission, he underwent extracoporeal shock wave lithotripsy for the stone. Consequently, his symptoms became more aggravated. Abdominal radiography revealed massive colonic dilatation. Neither a sigmoidoscopy nor a CT scan revealed any evidence of an obstructive lesion. Despite conservative care, colonic distension progressed. After insertion of a colonic manometry catheter, he received 2.0 mg of neostigmine. After several minutes, a massive amount of gas and stool evacuated, and abdominal distension was relieved. The history and clinical course suggest that the development and aggravation of acute colonic pseudo-obstruction is associated with a ureteral stone, drugs and extracorporeal shock wave lithotripsy.

Keyword

Pseudo-obstruction; Ureteral Stone; ESWL

MeSH Terms

Abdominal Pain
Catheters
Cholinergic Antagonists
Colon*
Colonic Pseudo-Obstruction*
Diazepam
Dilatation
Emergency Service, Hospital
Flank Pain
Humans
Lithotripsy*
Male
Manometry
Middle Aged
Neostigmine
Radiography, Abdominal
Shock*
Sigmoidoscopy
Tomography, X-Ray Computed
Ureter*
Cholinergic Antagonists
Diazepam
Neostigmine