renal calculi. There have been major complications reported with ESWL such as acute
pancreatitis, bower perforation, venous thrombosis, and biliary obstruction. There are few
reports in the literature of necrotizing pancreatitis secondary to ESWL. We have a case
report of a 29-year-old female that developed an abdominal compartment syndrome with an
acute necrotizing pancreatitis hours after extracorporeal shock wave lithotripsy.