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Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned
Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large and complex renal calculi. We encountered a patient who was planned for PCNL in a peripheral hospital, without a preoperative computed tomography scan but was abandoned during tract dilatation due to intractable bleeding and wa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787429/ https://www.ncbi.nlm.nih.gov/pubmed/36568460 http://dx.doi.org/10.4103/iju.iju_241_22 |
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author | Aggarwal, Amit Bhargava, Priyank Bhirud, Deepak Prakash |
author_facet | Aggarwal, Amit Bhargava, Priyank Bhirud, Deepak Prakash |
author_sort | Aggarwal, Amit |
collection | PubMed |
description | Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large and complex renal calculi. We encountered a patient who was planned for PCNL in a peripheral hospital, without a preoperative computed tomography scan but was abandoned during tract dilatation due to intractable bleeding and was referred to our institute with nephrostomy in situ in a clamped state. After evaluation, the tip of the nephrostomy tube was found to be in the left renal vein causing secondary thrombosis. Due to the nonfunctional status of the kidney in the dynamic scan, the patient underwent laparoscopic left simple nephrectomy with thrombectomy without any major intraoperative complication and was discharged in stable condition. |
format | Online Article Text |
id | pubmed-9787429 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-97874292022-12-24 Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned Aggarwal, Amit Bhargava, Priyank Bhirud, Deepak Prakash Indian J Urol Case Report Percutaneous nephrolithotomy (PCNL) is the treatment of choice for large and complex renal calculi. We encountered a patient who was planned for PCNL in a peripheral hospital, without a preoperative computed tomography scan but was abandoned during tract dilatation due to intractable bleeding and was referred to our institute with nephrostomy in situ in a clamped state. After evaluation, the tip of the nephrostomy tube was found to be in the left renal vein causing secondary thrombosis. Due to the nonfunctional status of the kidney in the dynamic scan, the patient underwent laparoscopic left simple nephrectomy with thrombectomy without any major intraoperative complication and was discharged in stable condition. Wolters Kluwer - Medknow 2022 2022-10-01 /pmc/articles/PMC9787429/ /pubmed/36568460 http://dx.doi.org/10.4103/iju.iju_241_22 Text en Copyright: © 2022 Indian Journal of Urology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Aggarwal, Amit Bhargava, Priyank Bhirud, Deepak Prakash Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title | Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title_full | Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title_fullStr | Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title_full_unstemmed | Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title_short | Renal vein injury during percutaneous nephrolithotomy: A surgical catastrophe – Management and lessons learned |
title_sort | renal vein injury during percutaneous nephrolithotomy: a surgical catastrophe – management and lessons learned |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787429/ https://www.ncbi.nlm.nih.gov/pubmed/36568460 http://dx.doi.org/10.4103/iju.iju_241_22 |
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