scholarly journals Management of Colon Perforation During Percutaneous Nephrolithotomy in Patients with Complex Anatomy: A Case Series

2020 ◽  
Vol 6 (4) ◽  
pp. 416-420
Author(s):  
Arun Rai ◽  
Zachary Kozel ◽  
Alan Hsieh ◽  
Tareq Aro ◽  
Arthur Smith ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Case Series ◽  
Colon Perforation ◽  
Complex Anatomy

scholarly journals An unusual presentation of colon perforation following percutaneous nephrolithotomy

2014 ◽  
Vol 8 (11-12) ◽  
pp. 862 ◽  
Author(s):  
Barbara Chubak ◽  
Joshua M Stern
Keyword(s):  
Sore Throat ◽  
Percutaneous Nephrolithotomy ◽  
Current Literature ◽  
Signs And Symptoms ◽  
Bowel Injury ◽  
Unusual Presentation ◽  
Diagnosis And Treatment ◽  
Colon Perforation ◽  
Tubeless Pcnl ◽  
Prompt Diagnosis

Colon perforation is a rare but serious complication of percutaneous nephrolithotomy (PCNL), meriting particular attention to its signs and symptoms for prompt diagnosis and treatment. We report an unusual presentation of colon perforation following tubeless PCNL, characterized by sore throat, pneumomediastinum, and neck and shoulder crepitus. In addition to the details of this case, we review the current literature on bowel injury during PCNL and its management.

Neurologic Injury Resulting in Flank Bulge After Percutaneous Nephrolithotomy: a Case Series

2019 ◽  
Vol 82 (1) ◽  
pp. 96-99
Author(s):  
Christos Argyriou ◽  
Stilianos Giannakopoulos ◽  
Kalliopi-Maria Tasopoulou ◽  
Chalil Arif ◽  
Christos Kalaitzis ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Case Series ◽  
Neurologic Injury

scholarly journals An Insight into Anatomical Variations in Maxillary Molars: A Case Series

2018 ◽  
Vol 6 (2) ◽  
pp. 76-78
Author(s):  
Manisha Nepal ◽  
Vanita Gautam ◽  
Snigdha Shubham ◽  
Rupam Tripathi ◽  
Rinku Sah
Keyword(s):  
Root Canal ◽  
Case Series ◽  
Anatomical Variations ◽  
Canal System ◽  
Maxillary Molars ◽  
Complex Anatomy ◽  
Root Canal System ◽  
Insight Into

The aim of this article is to show different anatomic complexities of the root canal system related to maxillary molars. Maxillary molars are presumed to have only three roots with three canals but this is not always the case, it might present with different variations. Some of the anatomical variations such as, mesiobuccal2 (MB2) canals in maxillary 1st and 2nd molars, two rooted maxillary 1st and 2nd molar, one rooted maxillary 2nd molar, C-shaped upper 2nd molar and maxillary 2nd molar with extra palatal root are reported in this case series. Hence, in treating each tooth every dentist must keep foresight that complex anatomy occurs often enough to be considered normal and manage them accordingly.

Management of a Colon Perforation During Pediatric Percutaneous Nephrolithotomy

2012 ◽  
Vol 26 (9) ◽  
pp. 1118-1120 ◽  
Author(s):  
Emre Goger ◽  
Selcuk Guven ◽  
Recai Gurbuz ◽  
Kadir Yilmaz ◽  
Mehmet Kilinc ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Colon Perforation

A retrospective, observational study of supine percutaneous nephrolithotomy

2017 ◽  
Vol 11 (4) ◽  
pp. 285-292
Author(s):  
SU Srinivas ◽  
Z Gall ◽  
N Lynch ◽  
A Pollard ◽  
A Counsell ◽  
...  
Keyword(s):  
Observational Study ◽  
Percutaneous Nephrolithotomy ◽  
Perioperative Complications ◽  
Case Series ◽  
District General Hospital ◽  
Renal Calculi ◽  
Retrospective Observational Study ◽  
Complication Rates ◽  
Postoperative Fever ◽  
Stone Clearance

Objective: The objective of this study is to assess stone clearance and perioperative complication rates of supine percutaneous nephrolithotomy (PCNL). Methods: This was a retrospective, observational study of supine PCNL performed in a surgical unit at a district general hospital by two surgeons in the United Kingdom. Data collected included patient demographics, comorbidities, complexity of renal calculi, perioperative complications and stone clearance rates. Results: A total of 112 supine PCNL procedures were observed in this study. The mean (SD) American Society of Anesthesiologists (ASA) grade and Guy’s Stone Score were 2.0 (0.75) and 2.3 (1.06) respectively. The median (interquartile range (IQR)) duration of in-patient admission was four (one) nights. Complete stone clearance was achieved in 74 (67.3%) of the procedures, while more than 90% clearance of the renal stone burden was achieved in a further eight (7.3%). The most common perioperative complications recorded were blood loss requiring blood transfusion (three (2.7%)) and postoperative fever (two (1.8%)). Conclusion: This case series shows that supine PCNL can lead to good stone clearance and low complication rates.

Colon perforation related to percutaneous nephrolithotomy: from diagnosis to treatment

Urolithiasis ◽  
2015 ◽  
Vol 43 (6) ◽  
pp. 521-526 ◽  
Author(s):  
Fatih Akbulut ◽  
Adem Tok ◽  
Necmettin Penbegul ◽  
Mansur Daggulli ◽  
Bilal Eryildirim ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Colon Perforation

scholarly journals Intrapelvic Obturator Internus Muscle Injections: A Novel Fluoroscopic Technique

2015 ◽  
Vol 2;18 (2;3) ◽  
pp. E237-E243
Author(s):  
Assia Valovska
Keyword(s):  
Dimensional Space ◽  
Symptomatic Relief ◽  
Case Series ◽  
Pain Reduction ◽  
Pain Scale ◽  
Pelvic Cavity ◽  
Obturator Internus ◽  
Complex Anatomy ◽  
Scale Scores ◽  
Obturator Internus Muscle

The obturator internus (OI) muscle is important in adult chronic noninfectious pelvic, perineal, gluteal, and retrotrochanteric pain syndromes. Evaluation and management of these patients’ pain can be challenging because of the complex anatomy of this region, broad differential diagnosis, and lack of specific physical examination findings. Consequently, several clinicians have advocated the use of image guided injections to assist in the accurate diagnosis of OI-related symptoms and provide symptomatic relief to affected patients. We present 2 case series describing a novel fluoroscopically guided contrast controlled transpectineal approach to intrapelvic OI injections. Unlike prior fluoroscopically guided OI injection techniques, the approach described in the present 2 cases utilized multiple standard pelvic views, thus facilitating optimal needle positioning in three-dimensional space. This technique utilized standard fluoroscopic pelvic views to accurately measure needle depth within the pelvic cavity permitting the bulk of the OI to be injected in a controlled and safe fashion. The first patient underwent a left intrapelvic OI muscle injection with bupivacaine 0.25% and 40 mg methylprednisolone. The average pre- and postprocedural visual analog pain scale scores were 5 out of 10 and 2 out of 10, respectively, with a self-reported 75% pain reduction. The second patient underwent a right intrapelvic OI muscle injection with bupivacaine 0.25% and 40 mg methylprednisolone. The average pre- and postprocedural visual analog scale scores were 8 out of 10 and 1 out of 10, respectively, with a self-reported 90% pain reduction. Larger scale studies should be undertaken to evaluate the therapeutic efficacy and generalized accuracy of this technique. Key words: Obturator internus muscle, pelvic, perineal, gluteal, retrotrochanteric pain, fluoroscopic, transpectineal

scholarly journals Case series: Criss-cross Heart

2021 ◽  
Author(s):  
Panthip Patrakunwiwat ◽  
Pirapat Makarapong ◽  
Thanarat Layangkool
Keyword(s):  
Surgical Intervention ◽  
Pulmonary Stenosis ◽  
Treatment Options ◽  
Case Series ◽  
Double Outlet Right Ventricle ◽  
Palliative Surgery ◽  
Total Correction ◽  
Complex Anatomy ◽  
Prominent Symptom ◽  
Cardiology Clinic

Abstract Criss-cross heart (CCH) is a rare cardiac malformation which is characterized by crossing of the inflow streams of the two ventricles due to rotation of ventricular axis. The anomalies can be identified both atrioventricular concordance and discordance. The etiology of CCH is remaining unknown. Prominent symptom is cyanosis. The primary investigation is transthoracic echocardiography to identify this abnormality. Many patients need further investigation to review anatomy. Total correction is the aim for treatment but it is difficult for this complex anatomy. There were 5 patients who visited cardiology clinic at Queen Sirikit National Institute of Child Health (QSNICH) from 2002 to 2017. The objective is to review the treatment options that we performed in CCH. Most common associated anomalies were double outlet right ventricle and pulmonary stenosis. One patient died before surgical intervention; others were performed palliative surgery.

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