Splenic injury: A rare complication of percutaneous nephrolithotomy

1994 ◽  
Vol 26 (4) ◽  
pp. 399-404 ◽  
Author(s):  
J. Kondás ◽  
E. Szentgyörgyi ◽  
L. Váczi ◽  
A. Kiss
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Splenic Injury ◽  
Rare Complication

Splenic Injury: Rare Complication of Percutaneous Nephrolithotomy: Report of Two Cases with Review of Literature

2007 ◽  
Vol 21 (8) ◽  
pp. 919-922 ◽  
Author(s):  
Hemendra Navinchandra Shah ◽  
Sunil S. Hegde ◽  
Amol P. Mahajan ◽  
Hiren Sodha ◽  
Rashmi Shah ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Splenic Injury ◽  
Rare Complication ◽  
Review Of Literature

scholarly journals Splenic Injury During Percutaneous Nephrolithotomy: A Case Report of a Rare Complication

Cureus ◽  
2019 ◽  
Author(s):  
Deniz Noyan Ozlu ◽  
Kamil Gokhan Seker ◽  
Emre Sam ◽  
Feyzi Arda Atar
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Splenic Injury ◽  
Rare Complication

scholarly journals Compartment Syndrome Related to Patient Positioning in the Surgical Treatment of Urolithiasis

2021 ◽  
Author(s):  
Inés Laso-García ◽  
Fernando Arias-Fúnez ◽  
Gemma Duque-Ruiz ◽  
David Díaz-Pérez ◽  
Alberto Artiles-Medina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Compartment Syndrome ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Patient Positioning ◽  
Lower Limbs ◽  
Urinary Stones ◽  
Ureteral Stones ◽  
Lithotomy Position ◽  
American Society

The incidence of urolithiasis is progressively increasing worldwide, as is the surgical treatment of urinary stones. The most frequent surgery for urolithiasis is ureterorenoscopy, which is performed in the lithotomy position. This position is also used in the endoscopic approach to bladder stones. Lateral decubitus is rarely used in the treatment of urinary stones. In the case of complex kidney stones, the gold standard treatment is percutaneous nephrolithotomy. This surgery has traditionally been performed in the prone position. However, the use of the supine (Valdivia) position is increasing in recent times. Furthermore, the Galdakao-modified supine Valdivia position has been widely used for percutaneous nephrolithotomy since it was described by Ibarluzea et al. in 2007. Treatment of kidney and ureteral stones simultaneously is allowed in both supine positions. In addition, they allow the removal of encrusted stents and the easy placement of double J stents and, in the case of the Galdakao-modified supine Valdivia position, percutaneous nephrostomies. Compartment syndrome is a rare complication in the lithotomy position, but scarcely described in the supine position. This especially applies to the Galdakao-modified supine Valdivia position, in which the lower limbs are in moderate flexion, with the ipsilateral lower limb in a slightly lower position relative to the other. This complication can lead to skin necrosis, myoglobinuric renal failure, amputation, permanent neuromuscular dysfunction, and even death. Risk factors include Body Mass Index, male gender, obesity, increased muscle mass, peripheral vascular disease (advanced age, hypertension, hyperlipidemia and diabetes mellitus), height, lack of operative experience, significant bleeding during surgery, hypothermia, acidemia, combination general-spinal anesthesia, prolonged surgical time, systemic hypotension, ASA (American Society of Anesthesiologists) class or vasoconstrictor drugs. Therefore, compartment syndrome of the leg is a potentially devastating complication that must be suspected and treated through early decompression of the compartment by four compartment fasciotomy. Preventive measures reduce the incidence of this condition.

scholarly journals Splenic Injury with Subsequent Pleural Effusion: An Underreported Complication of Colonoscopy

2019 ◽  
Vol 13 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Idrees Suliman ◽  
John Guirguis ◽  
Iryna Chyshkevych ◽  
Nemer F. Dabage
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Pleural Effusion ◽  
Cancer Prevention ◽  
Conservative Management ◽  
Splenic Injury ◽  
Rare Complication ◽  
Routine Screening ◽  
Morbidity And Mortality ◽  
Screening Colonoscopy

Colorectal cancer is a leading cause of morbidity and mortality worldwide. As such, there are recognized guidelines in the screening of this preventable cancer. There are differences in opinion regarding screening recommendations between the European and United States Cancer Prevention Societies. Screening colonoscopy is an option for routine screening for colorectal cancer in asymptomatic adults. It is a day procedure that is conducted both in hospital and specialized outpatient endoscopy suites. Serious harm is in the region of 3 per 1,000 examinations [Am J Gastroenterol. 2016 Aug; 111(8): 1092–101]. Splenic injury is a rare complication of colonoscopy whose frequency is unclear. Conservative management of splenic injury is desirable in order to preserve immunocompetence. We present a case in which a previously healthy 59-year-old female developed a splenic injury and later pleural effusion after screening colonoscopy.

Splenic Rupture: An Unusual Complication of Colonoscopy

2007 ◽  
Vol 73 (4) ◽  
pp. 393-396 ◽  
Author(s):  
Stefan Holubar ◽  
Amit Dwivedi ◽  
J. Eisendorfer ◽  
R. Levine ◽  
R. Strauss
Keyword(s):  
Hemorrhagic Shock ◽  
Splenic Injury ◽  
Early Recognition ◽  
Rare Complication ◽  
Treatment Options ◽  
Unusual Complication ◽  
Angiographic Embolization ◽  
Diagnostic Colonoscopy ◽  
Life Threatening ◽  
Therapeutic Colonoscopy

Splenic injury is a known, albeit rare, complication of diagnostic and therapeutic colonoscopy. Within a 6-month period, we observed two colonoscopic splenic injuries. We report these two cases of splenic injury who presented differently after colonoscopy: one presented as frank hemorrhagic shock, and the other as a subacute splenic hemorrhage with symptomatic anemia. The first patient presented with hemorrhagic shock several hours after a diagnostic colonoscopy and required an emergency splenectomy. The second patient presented with symptomatic anemia several days after a diagnostic colonoscopy and was treated by angiographic embolization. Clinical presentation and discussion of the mechanisms of injury, available treatment options, and strategies for preventing colonoscopic splenic injuries are presented. Awareness of this complication is paramount in early recognition and management of this potentially life-threatening injury.

scholarly journals Colonoscopic Splenic Injury: A Simplified Radiologic Approach

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Tara Chen ◽  
Qiu Tong ◽  
Alexander Kurchin
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Large Bowel ◽  
Therapeutic Approach ◽  
Splenic Injury ◽  
Rare Complication ◽  
Diagnosis And Treatment ◽  
Bowel Diseases

Colonoscopy is a commonly performed procedure for diagnosis and treatment of large bowel diseases. Recognized complications include bleeding and perforation. Splenic injury during colonoscopy is a rare complication. We report a case of a 73-year-old woman who presented with left-sided abdominal pain after colonoscopy with finding of splenic injury on CT scan. She was managed conservatively. We discuss the diagnostic and therapeutic approach to colonoscopic splenic injury.

Splenic injury as a rare complication of colonoscopy

2009 ◽  
Vol 26 (2) ◽  
pp. 147-147 ◽  
Author(s):  
S R Lewis ◽  
D Ohio ◽  
G Rowley
Keyword(s):  
Splenic Injury ◽  
Rare Complication

scholarly journals A delayed presentation of splenic laceration and hemoperitoneum following an elective colonoscopy: A rare complication with uncertain risk factors

2018 ◽  
Vol 6 ◽  
pp. 2050313X1879106 ◽  
Author(s):  
Allison N Zhang ◽  
Jagannath M Sherigar ◽  
Debra Guss ◽  
Smruti R Mohanty
Keyword(s):  
Risk Factors ◽  
Perceived Risk ◽  
Splenic Injury ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Consent Process ◽  
Delayed Presentation ◽  
Abdominal Adhesions

Splenic laceration is a rare yet often underreported complication of colonoscopy that is infrequently discussed with the patient during the consent process. Most cases present within 48 h after the inciting colonoscopy; a delayed presentation is rare. We present a case of splenic laceration with hemoperitoneum that manifested 5 days after the initial colonoscopy. The patient was treated conservatively. Traditionally perceived risk factors such as intra-abdominal adhesions, splenomegaly, anticoagulation use, biopsy, polypectomy, a technically challenging procedure, and anesthesia assistance have not been clearly shown to increase the incidence of splenic injury following a colonoscopy. Since the risk factors of splenic injury remain unclear, the clinical presentation is nonspecific, and the consequences can be serious, the endoscopist should make an effort to inform the patient of this rare complication before the procedure.

scholarly journals Injury of the ileum during percutaneous nephrolithotomy in a pediatric patient

2014 ◽  
Vol 8 (3-4) ◽  
pp. 204 ◽  
Author(s):  
Karim S Saad ◽  
Ahmed Hanno ◽  
Ahmed R. EL-Nahas
Keyword(s):  
Pediatric Patient ◽  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Mechanism Of Injury ◽  
Successful Management

Ileum injury during percutaneous nephrolithotomy (PCNL) is an extremely rare complication. We describe the successful management of an inadvertently injured ileum during subcostal PCNL in a 12-year-old boy. Mechanism of injury, presentation and management will be discussed.

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