Unusual iatrogenic cause for renal stone formation following percutaneous nephrolithotomy

2015 ◽  
Vol 87 (11) ◽  
pp. E210-E211
Author(s):  
Nieroshan Rajarubendra ◽  
Philip McCahy
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Stone Formation

scholarly journals Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Santosh Kumar ◽  
Kumar Jayant ◽  
Shrawan K. Singh ◽  
Kalpesh M. Parmar ◽  
Sudheer K. Devana ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Stone Formation ◽  
Liver Function Tests ◽  
Rare Presentation ◽  
Delayed Bleeding ◽  
Normal Limits ◽  
Function Tests ◽  
Embolization Coil ◽  
The Right

Delayed bleeding following percutaneous nephrolithotomy (PCNL) usually occurs due to development of the pseudoaneurysm which can be successfully managed with coil embolization. However very few cases of such complications have been reported in the literature. Here we are reporting a case of delayed post-PCNL bleeding that occurred in a 53-year-old diabetic patient operated on for renal stone. Computed tomography scan revealed a presence of the pseudoaneurysm in the segmental branch of right renal artery, which was successfully managed with coiling. Patient remained asymptomatic for the next 9 years after which he again presented with similar complaints. X-ray KUB was done which revealed a 2.7 cms renal pelvic calculus with the migrated coil in its center and a left upper ureteric calculus. His routine haemogram, coagulogram, serum electrolytes, and liver function tests, renal function tests, vitamin D3, and PTH (parathyroid hormone) were within normal limits. He underwent left laparoscopic ureterolithotomy and right percutaneous nephrolithotomy (PCNL). Intraoperatively the migrated stainless steel embolization coil was seen engulfed all around by the multiple stones in the right renal pelvis. Postoperative period was uneventful. Later he was followed in the outpatient department and was doing well. To conclude, this is the only case report of development of a large calculus around a migrated embolization coil which was successfully managed with PCNL. PCNL offers better stone clearance in cases of stones being formed over foreign bodies like fragmented double J stents, fragmented nephrostomies, or migrated embolization coil.

scholarly journals Safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy in the management of renal stones ≤ 2 cm: a single-center experience

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Elsayed M. Salih ◽  
Ibrahim Elsotohi ◽  
Hisham Elhelaly ◽  
Mohamed Elsalhy ◽  
Mourad M. Mourad
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Renal Stones ◽  
Stone Size ◽  
Intraoperative Complication ◽  
Safety And Efficacy ◽  
Single Center Experience ◽  
Minimally Invasive Percutaneous Nephrolithotomy ◽  
The Mean

Abstract Background The goal for using smaller caliber instruments in PNL was to reduce the access-related complications and to decrease morbidity. The objective of this study was to evaluate the safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy (MIPNL) in the treatment of renal stones ≤ 20 mm. Results Sixty-seven patients completed the study protocol. The mean age was 41.10 ± 13.99 years (range 18–68 years). There were 43 (64%) male and 24 (36%) females. The mean stone size was ranged from 78.5 to 439.6 mm2 (mean ± SD 172.48 ± 69.54 mm2). The overall SFR was (82%). Twelve (18%) needed post-MIPNL auxiliary procedure, in the form of second MIPNL in 3 (4.5%) cases, SWL in 7 (10%), and RIRS in 2 (3%) cases. The intraoperative complication was present in four patients (5%) include bleeding necessitate blood transfusion in one patient (1.5%) and renal collecting system perforation 3 (4.5%). The postoperative complication was urine leakage 5 (7.5) and fever in 6 (9%) of patients. Conclusion Chinese MIPNL is safe and effective method for treatment of renal stone ≤ 20 mm size with satisfactory SFR and low complication rate when SWL failed or contraindicated. It is considered a feasible treatment alternative to standard PNL, in the absence of flexible URS or miniature nephroscope.

Antibiotic treatment-induced tubular dysfunction as a risk factor for renal stone formation in cystic fibrosis

2002 ◽  
Vol 140 (1) ◽  
pp. 103-109 ◽  
Author(s):  
Hansjosef Böhles ◽  
Boris Gebhardt ◽  
Thomas Beeg ◽  
Adrian C. Sewell ◽  
Eivind Solem ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Risk Factor ◽  
Antibiotic Treatment ◽  
Renal Stone ◽  
Stone Formation ◽  
Tubular Dysfunction

Iatrogenic hydrohemothorax during percutaneous nephrolithotomy: A case report

2021 ◽  
Vol 1 (2) ◽  
pp. 079-082
Author(s):  
Tae Yeon Kim ◽  
Kyu Nam Kim ◽  
Lee Kwang Hyun ◽  
Bo Seok Kwon ◽  
Jo Hyung Jun
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Vital Signs ◽  
Pulmonary Complications ◽  
Fluid Retention ◽  
Air Bubbles ◽  
Close Cooperation ◽  
The Right ◽  
Pleural Injury ◽  
Routine Chest

Background: Percutaneous nephrolithotomy (PNL) is a widely used surgical method for renal stone management. However, it can be associated with several complications. Case: We report an acute hemothorax during PNL in 57-year-old male patient with a stone. After observing air bubbles at the diaphragm on the laparoscopic screen, we considered pulmonary complications. A chest radiograph demonstrated a shade that measured 130 mm wide and 70 mm long and fluid retention on the right side of the chest. During drainage of 200 ml of blood through a chest tube, the patient’s vital signs became unstable. After the patient received hydration and intravenous injection of vasopressor, his vital signs stabilized. Conclusions: Pulmonary complications due to pleural injury during PNL can result in death, but the complications can be managed by early diagnosis and treatment. Close cooperation between surgeon and anesthesiologist and routine chest radiographs after PNL can reduce the pulmonary complications.

Renal Stone Formation in Primary Hyperparathyroidism — Role of Tubular Dysfunction

Urolithiasis ◽  
1981 ◽  
pp. 89-92 ◽  
Author(s):  
S. Ljunghall ◽  
B. G. Danielson ◽  
G. Johansson ◽  
L. Wibell
Keyword(s):  
Primary Hyperparathyroidism ◽  
Renal Stone ◽  
Stone Formation ◽  
Tubular Dysfunction

716 PIOGLITAZONE, PEROXISOME PROLIFERATORACTIVATED RECEPTOR GAMMA ACTIVATOR, POSSIBLE INHIBITION OF RENAL STONE FORMATION IN RATS

2011 ◽  
Vol 10 (2) ◽  
pp. 228
Author(s):  
K. Taguchi ◽  
A. Okada ◽  
Y. Fujii ◽  
K. Niimi ◽  
T. Kobayashi ◽  
...  
Keyword(s):  
Renal Stone ◽  
Stone Formation

MANAGEMENT OF RESIDUAL RENAL STONE FRAGMENTS AFTER PERCUTANEOUS NEPHROLITHOTOMY: ABOUT 63 PATIENTS

2006 ◽  
Vol 5 (2) ◽  
pp. 111
Author(s):  
S. Sallami ◽  
M. Cheliff ◽  
I. Bensalah ◽  
G. Hafsia ◽  
S. Ben Rhouma ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone

Abnormal Erythrocyte and Renal Frusemide-Sensitive Sodium Transport in Idiopathic Calcium Nephrolithiasis

1994 ◽  
Vol 86 (3) ◽  
pp. 239-243 ◽  
Author(s):  
Bruno Baggio ◽  
Giovanni Gambaro ◽  
Francesco Marchini ◽  
Massimo Vincenti ◽  
Giulio Ceolotto ◽  
...  
Keyword(s):  
Calcium Oxalate ◽  
Renal Stone ◽  
Stone Formation ◽  
Fractional Excretion ◽  
Cation Transport ◽  
Anion Transport ◽  
Kinetic Properties ◽  
Distal Nephron ◽  
Stone Formers ◽  
Na Efflux

1. Anomalous transmembrane anion transport has been observed in erythrocytes of patients with idiopathic calcium nephrolithiasis. 2. To verify whether cation transport is also abnormal, we investigated the frusemide-sensitive Na+ efflux from Na+-loaded erythrocytes and the natriuretic response to acute intravenous frusemide administration in calcium oxalate renal stone formers. 3. Frusemide administration induced a statistically significant smaller increase in the fractional excretion of Na+ in patients than in control subjects. Abnormal kinetic properties of erythrocyte Na+-K+-2Cl− co-transport were observed in approximately 60% of stone formers. The Km for Na+ of Na+-K+-2Cl− co-transport correlated with urinary Ca2+ excretion. 4. The abnormal kinetic properties of Na+-K+-2Cl− co-transport may be relevant for stone formation, hampering renal Ca2+ reabsorption in the distal nephron and determining critical physicochemical conditions for calcium/oxalate crystallization.

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