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

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.

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 Colon perforation during percutaneous nephrolithotomy and fistula closure with Spongostan following conservative therapy

2015 ◽  
Vol 9 (5-6) ◽  
pp. 313 ◽  
Author(s):  
Sitki Ün ◽  
Volkan Çakır ◽  
Osman Köse ◽  
Hakan Türk ◽  
Yüksel Yılmaz
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Kidney Stones ◽  
Conservative Therapy ◽  
Left Kidney ◽  
Patient Comfort ◽  
Fistula Formation ◽  
Colon Perforation ◽  
Fistula Tract ◽  
External Drainage ◽  
Colonic Fistula

Percutaneous nephrolithotomy (PCNL) is the first-line treatment for kidney stones. Colon perforation is a rare, but dangerous, complication. Colonic perforation might be very serious if it is not found early. After an unsuccessful extracorporeal shockwave lithotripsy, a 45-year-old female underwent a left-sided PCNL for two 1-cm kidney stones in the left kidney upper pole calyx. During dilatation, a colon perforation was suspected. The procedure was finished by inserting a 14Fr re-entry catheter into the colon. On postoperative day 5, a fluoroscopy was performed by injecting contrast dye through the re-entry catheter, which showed a fistula formation between skin and colon. The catheter was removed completely. A 16Fr external drainage catheter was inserted over the guidewire through the fistula tract. The fistula was closed by introducing prepared absorbable hemostatic gelatin powder (Spongostan) particles into the fistula tract through the catheter. Fistula tracks can be closed early by injecting absorbable Spongostan particles into the colonic fistula tract, thereby reducing inpatient time and increasing patient comfort.

Management of Colon Perforation During Percutaneous Nephrolithotomy: 12 Years of Experience in a Referral Center

2017 ◽  
Vol 31 (10) ◽  
pp. 1032-1036 ◽  
Author(s):  
Robab Maghsoudi ◽  
Massoud Etemadian ◽  
Amir H. Kashi ◽  
Kaveh Mehravaran
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Colon Perforation ◽  
Years Of Experience ◽  
Referral Center

scholarly journals Management of Colon Perforation During Percutaneous Nephrolithotomy: A Case Report

2019 ◽  
Author(s):  
Murat UÇAR ◽  
Süleyman ÇANKAYA ◽  
Eyyüp Mehmet KILINÇ ◽  
Ahmet Anıl GÖÇENER ◽  
Volkan DOĞRU ◽  
...  
Keyword(s):  
Case Report ◽  
Percutaneous Nephrolithotomy ◽  
Colon Perforation

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 The Matryoshka technique in percutaneous nephrolithotomy

2021 ◽  
Vol 93 (2) ◽  
pp. 162-166
Author(s):  
Stefano Paolo Zanetti ◽  
Matteo Fontana ◽  
Elena Lievore ◽  
Matteo Turetti ◽  
Fabrizio Longo ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Operative Time ◽  
Colon Perforation ◽  
Blood Transfusions ◽  
Postoperative Fever ◽  
Main Indication ◽  
Percutaneous Access ◽  
Multistep Procedure ◽  
Stone Characteristics ◽  
Median Operative Time

Objective: Miniaturized percutaneous nephrolithotomy (PCNL) reduces the risk of haemorrhagic complications, but the limited field of work represents a drawback. To obtain the best outcomes, the percutaneous access size should be intraoperatively tailored. Our purpose is to describe the indications and the procedural steps of the Matryoshka technique and to report its clinical outcomes. Materials and methods: We performed a retrospective analysis of the data from consecutive Matryoshka PCNL procedures from October 2016 to January 2018. Collected data included patients’ history, stone characteristics, intra- and post-operative items, stone clearance and need for retreatment. The main indication to the Matryoshka technique is the inability to securely position a guidewire due to an obstruction or narrowness in the pyelocalyceal system. This technique begins by puncturing the calyx hosting the stone and advancing a hydrophilic guidewire through the needle. If the guidewire cannot proceed beyond the stone, the Matryoshka technique is employed for tract stabilization. The tract is carefully dilated with small-bore instruments and a cautious lithotripsy is performed to create enough space to introduce the guidewire beyond the stone under visual control. Once the access has been stabilized the surgeon can upsize the tract to the optimum to complete the procedure. Additionally, the technique can be employed when an intraoperative reassessment induces the surgeon to further dilate the tract to quicken the procedure. Results: Sixteen patients were included, with a median stone volume of 3.49 cm3. Median operative time was 112 minutes. Three Clavien I-II (postoperative fever) and one Clavien IIIB (colon perforation) complications were reported. No blood transfusions were recorded. Three patients underwent scheduled retreatment as part of a multistep procedure. Out of the remaining 13 patients, 10 (76.9%) obtained a complete stone clearance.Conclusions: The Matryoshka technique helps the urologist to obtain a secure percutaneous access and makes PCNL flexible and progressive, potentially minimizing the risk of access-related complications.

scholarly journals Colon Perforation: A Rare Complication During Percutaneous Nephrolithotomy

2006 ◽  
Vol 22 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Chun-Hsiung Huang ◽  
Shu-Mien Chuang ◽  
Ching-Chia Li ◽  
Wen-Jeng Wu ◽  
Yung-Shun Juan ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Rare Complication ◽  
Colon Perforation
Sign in / Sign up

Export Citation Format

Share Document