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Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy
PURPOSE: To describe a case of acute superior vena cava syndrome during percutaneous nephrolithotomy (PCNL), and to review the associated clinical features, management and complications. CLINICAL FEATURES: A 34-year-old man, diagnosed as right renal calculi and nodal tachycardia, was admitted to rec...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934581/ https://www.ncbi.nlm.nih.gov/pubmed/20842256 http://dx.doi.org/10.4103/0974-7796.62918 |
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author | Qing, Ji Jianjun, Yang Hongbin, Jia Lidong, Zhang |
author_facet | Qing, Ji Jianjun, Yang Hongbin, Jia Lidong, Zhang |
author_sort | Qing, Ji |
collection | PubMed |
description | PURPOSE: To describe a case of acute superior vena cava syndrome during percutaneous nephrolithotomy (PCNL), and to review the associated clinical features, management and complications. CLINICAL FEATURES: A 34-year-old man, diagnosed as right renal calculi and nodal tachycardia, was admitted to receive percutaneous nephroscope laser lithotripsy. Shortly after stone disintegration, he suffered acute hypoxic and hypotension, and showed cyanoderma of face and chest skin, ocular proptosis, jugular filling and ventricular fibrillation. Dopamine and adrenaline was intravenously injected. The patient was turned over to supine position and external cardiac massage and electric defibrillation were carried out immediately. The patient finally cardioverted. His vital signs subsequently became stable and cyanoderma faded. The patient was eventually discharged from the intensive care unit three days following the event. CONCLUSION: Severe complications such as cardiac arrest could happen during PCNL. Close monitoring the vital signs is essential for early finding and quick response to rescue. |
format | Text |
id | pubmed-2934581 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-29345812010-09-14 Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy Qing, Ji Jianjun, Yang Hongbin, Jia Lidong, Zhang Urol Ann Case Report PURPOSE: To describe a case of acute superior vena cava syndrome during percutaneous nephrolithotomy (PCNL), and to review the associated clinical features, management and complications. CLINICAL FEATURES: A 34-year-old man, diagnosed as right renal calculi and nodal tachycardia, was admitted to receive percutaneous nephroscope laser lithotripsy. Shortly after stone disintegration, he suffered acute hypoxic and hypotension, and showed cyanoderma of face and chest skin, ocular proptosis, jugular filling and ventricular fibrillation. Dopamine and adrenaline was intravenously injected. The patient was turned over to supine position and external cardiac massage and electric defibrillation were carried out immediately. The patient finally cardioverted. His vital signs subsequently became stable and cyanoderma faded. The patient was eventually discharged from the intensive care unit three days following the event. CONCLUSION: Severe complications such as cardiac arrest could happen during PCNL. Close monitoring the vital signs is essential for early finding and quick response to rescue. Medknow Publications 2010 /pmc/articles/PMC2934581/ /pubmed/20842256 http://dx.doi.org/10.4103/0974-7796.62918 Text en © Urology Annals http://creativecommons.org/licenses/by-nc-sa/2.0 This is an open-access article distributed under the terms of the Creative Commons Attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Qing, Ji Jianjun, Yang Hongbin, Jia Lidong, Zhang Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title | Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title_full | Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title_fullStr | Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title_full_unstemmed | Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title_short | Superior vena cava syndrome: A rare complication of percutaneous nephrolithotripsy laser lithotripsy |
title_sort | superior vena cava syndrome: a rare complication of percutaneous nephrolithotripsy laser lithotripsy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934581/ https://www.ncbi.nlm.nih.gov/pubmed/20842256 http://dx.doi.org/10.4103/0974-7796.62918 |
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