Abdominal Aortic Pseudoaneurysm Due to Extracorporeal Shock Wave Lithotripsy

Abstract

Extracorporeal shock wave lithotripsy (ESWL) is widely used for ureteric and renal calculi. Complication rates associated with ESWL are low. We report a case of abdominal aortic pseudoaneurysm due to ESWL. A 70-year-old man had received ESWL treatment for ureteral stone eight years ago. He was referred with abdominal aortic aneurysm. Computed tomography revealed a 30 mm mass lesion which was adjacent to abdominal aorta. We performed open repair. The mass was pulsatile. There was a hole in posterior wall of aorta. We diagnosed it as a pseudoaneurysm. He had no history of trauma, inflammation or operation except ESWL.