Extracorporeal shock wave lithotripsy (ESWL) is an established and extensiv
ely used treatment alternative for urinary calculi. It is also an establish
ed method of dealing with pancreatic duct calculi complementing endoscopic
techniques in selected cases. Three reports of splenic injury following and
probably caused by ESWL for urinary calculi have previously been published
. We report a case of splenic rupture presenting with life-threatening hemo
rrhage 6 days after a single ESWL therapy session for pancreatic duct calcu
li. Copyright (C) 2001 S. Karger AG, Basel.