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Transfixed jejunum lesion due to percutaneous nephrolithotomy

Percutaneous access for treatment of renal pathologies is a minimally invasive modality, although it can present complications. Small bowel lesions are rare but correct diagnosis and management are essential to prevent major complications. A patient submitted to an uncomplicated percutaneous nephrol...

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Detalles Bibliográficos
Autores principales: Fanni, Victor S.S., Ramos, Lucas de O., Leite, Marcela C., Martins, Felipe U.P., Júnior, Paulo Roberto C., Lopes, Humberto E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7725720/
https://www.ncbi.nlm.nih.gov/pubmed/33318946
http://dx.doi.org/10.1016/j.eucr.2020.101521
Descripción
Sumario:Percutaneous access for treatment of renal pathologies is a minimally invasive modality, although it can present complications. Small bowel lesions are rare but correct diagnosis and management are essential to prevent major complications. A patient submitted to an uncomplicated percutaneous nephrolithotomy presented jejunal transfixing perforation with a stable clinical progression. It was first managed conservatively unsuccessfully. Therefore, a laparotomy with enterectomy was necessary, with a favorable outcome. In transfixing lesions of the small bowel, diagnosis may be difficult and delayed. This contributes to conservative management failures and the requirement of laparotomy with enterectomy in order to reduce further complications.