Renovascular acute renal failure precipitated by extracorporeal shock wave lithotripsy for pancreatic stones

Abstract

Extracorporeal shock wave lithotripsy (ESWL) for pancreatic stones is considered a safe and efficient method to facilitate fragmentation and stone removal. We describe the case of a 73-year-old woman with a solitary functioning kidney who presented an acute-onset anuria and renovascular renal failure the day after ESWL.We speculate that vascular calcifications in the area targeted by shock waves played a critical role in renal artery obstruction in the present case.