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Rare vascular complication of ESWL pseudoaneurysm of arc of Buhler
  1. Joanne Ehemann and
  2. Jason Jae Yeun Kim
  1. Urology, Gold Coast University Hospital, Southport, Queensland, Australia
  1. Correspondence to Dr Joanne Ehemann; joanneehemann{at}


Extracorporeal shock wave lithotripsy (ESWL) is a standard treatment for nephrolithiasis. It is widely employed due to its relative safety profile when compared with other treatment options. Recognised complications include localised pain at site, steinstrasse, perinephric haematoma and ureteric obstruction. This report presents a rare non-documented complication of ESWL, pseudoaneurysm of the arc of Buhler, a branch artery of the superior mesenteric artery.

  • Urological surgery
  • Vascular surgery

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  • Contributors The following author was responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—JE. JJYK reviewed the final manuscript for submission. The following authors gave final approval of the manuscript—JE and JJYK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.