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Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones

✍ Scribed by P. W. Plaisier; J. F. Hamming; R. L. Hul; R. Toom; H. A. Bruining

Publisher
Springer
Year
1994
Tongue
English
Weight
412 KB
Volume
8
Category
Article
ISSN
0930-2794

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✦ Synopsis

We encountered significant liver fibrosis in a healthy young patient undergoing laparoscopic cholecystectomy for symptomatic gallstone disease. Twelve months prior to cholecystectomy the patient underwent multiple extracorporeal shock-wave lithotripsy (ESWL) sessions with adjuvant oral bile-acid therapy.

Since the site of fibrosis corresponded clearly to the shock-wave transmission path, which was in accordance with animal studies, it was concluded that this liver fibrosis was a side effect of biliary ESWL.

Based on these findings and the literature, we conclude that further assessment of the long-term safety of ESWL is still warranted, especially in patients undergoing multiple ESWL sessions.

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