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Plaisier PW, Hamming JF, van der Hul RL, et al. Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report. Surg Endosc. 1994;8(11):1335-7doi: 10.1007/BF00188295.
Plaisier, P. W., Hamming, J. F., van der Hul, R. L., den Toom, R., & Bruining, H. A. (1994). Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report. Surgical endoscopy, 8(11), 1335-7. https://doi.org/10.1007/BF00188295
Plaisier, P W, et al. "Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report." Surgical endoscopy vol. 8,11 (1994): 1335-7. doi: https://doi.org/10.1007/BF00188295
Plaisier PW, Hamming JF, van der Hul RL, den Toom R, Bruining HA. Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report. Surg Endosc. 1994 Nov;8(11):1335-7. doi: 10.1007/BF00188295. PMID: 7831609.
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Surg Endosc. 1994 Nov;8(11):1335-7. doi: 10.1007/BF00188295.

Liver fibrosis after extracorporeal shock-wave lithotripsy of gallbladder stones. A case report.

Surgical endoscopy

P W Plaisier, J F Hamming, R L van der Hul, R den Toom, H A Bruining

Affiliations

  1. Department of Surgery, University Hospital of the Erasmus University Rotterdam, The Netherlands.

PMID: 7831609 DOI: 10.1007/BF00188295

Abstract

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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