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Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access

INTRODUCTION: Hemothorax is a rare but life‐threatening complication following mini‐endoscopic combined intrarenal surgery. Herein, we describe a patient with left staghorn kidney stone who presented with hemothorax following mini‐endoscopic combined intrarenal surgery under ureteroscope‐assisted ul...

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Autores principales: Tanaka, Yutaro, Taguchi, Kazumi, Hamamoto, Shuzo, Ota, Yuya, Oda, Risa, Yokota, Keisuke, Ando, Ryosuke, Okada, Atsushi, Tozawa, Keiichi, Nakanishi, Ryoichi, Yasui, Takahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292128/
https://www.ncbi.nlm.nih.gov/pubmed/32743430
http://dx.doi.org/10.1002/iju5.12092
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author Tanaka, Yutaro
Taguchi, Kazumi
Hamamoto, Shuzo
Ota, Yuya
Oda, Risa
Yokota, Keisuke
Ando, Ryosuke
Okada, Atsushi
Tozawa, Keiichi
Nakanishi, Ryoichi
Yasui, Takahiro
author_facet Tanaka, Yutaro
Taguchi, Kazumi
Hamamoto, Shuzo
Ota, Yuya
Oda, Risa
Yokota, Keisuke
Ando, Ryosuke
Okada, Atsushi
Tozawa, Keiichi
Nakanishi, Ryoichi
Yasui, Takahiro
author_sort Tanaka, Yutaro
collection PubMed
description INTRODUCTION: Hemothorax is a rare but life‐threatening complication following mini‐endoscopic combined intrarenal surgery. Herein, we describe a patient with left staghorn kidney stone who presented with hemothorax following mini‐endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access. CASE PRESENTATION: A 47‐year‐old woman with left staghorn kidney stone underwent mini‐endoscopic combined intrarenal surgery, after which she developed shortness of breath. Chest radiography and computed tomography confirmed left hemothorax. Conservative management and left intercostal chest drainage were performed without improvement. Subsequently, video‐assisted thoracoscopic debridement was performed. CONCLUSION: Hemothorax is a severe complication of mini‐endoscopic combined intrarenal surgery, which, regardless of accurate access through an ideal renal calyx under ureteroscope‐assisted ultrasound‐guided access, may lead to pleural injury. Refinement of the surgical technique and management after percutaneous nephrolithotomy is the key to avoiding life‐threatening situations.
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spelling pubmed-72921282020-07-30 Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access Tanaka, Yutaro Taguchi, Kazumi Hamamoto, Shuzo Ota, Yuya Oda, Risa Yokota, Keisuke Ando, Ryosuke Okada, Atsushi Tozawa, Keiichi Nakanishi, Ryoichi Yasui, Takahiro IJU Case Rep Case Reports INTRODUCTION: Hemothorax is a rare but life‐threatening complication following mini‐endoscopic combined intrarenal surgery. Herein, we describe a patient with left staghorn kidney stone who presented with hemothorax following mini‐endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access. CASE PRESENTATION: A 47‐year‐old woman with left staghorn kidney stone underwent mini‐endoscopic combined intrarenal surgery, after which she developed shortness of breath. Chest radiography and computed tomography confirmed left hemothorax. Conservative management and left intercostal chest drainage were performed without improvement. Subsequently, video‐assisted thoracoscopic debridement was performed. CONCLUSION: Hemothorax is a severe complication of mini‐endoscopic combined intrarenal surgery, which, regardless of accurate access through an ideal renal calyx under ureteroscope‐assisted ultrasound‐guided access, may lead to pleural injury. Refinement of the surgical technique and management after percutaneous nephrolithotomy is the key to avoiding life‐threatening situations. John Wiley and Sons Inc. 2019-06-09 /pmc/articles/PMC7292128/ /pubmed/32743430 http://dx.doi.org/10.1002/iju5.12092 Text en © 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Tanaka, Yutaro
Taguchi, Kazumi
Hamamoto, Shuzo
Ota, Yuya
Oda, Risa
Yokota, Keisuke
Ando, Ryosuke
Okada, Atsushi
Tozawa, Keiichi
Nakanishi, Ryoichi
Yasui, Takahiro
Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title_full Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title_fullStr Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title_full_unstemmed Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title_short Hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
title_sort hemothorax during miniaturized endoscopic combined intrarenal surgery under ureteroscope‐assisted ultrasound‐guided access
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292128/
https://www.ncbi.nlm.nih.gov/pubmed/32743430
http://dx.doi.org/10.1002/iju5.12092
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