Colonic perforation in percutaneous nephrolithotomy: a case report
We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and its conservative management. We report a 63-year-old Malay, thalassemia carrier male who underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day, clinically evidence o...
| Main Authors: | , , , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
Kulliyyah of Medicine, International Islamic University Malaysia
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/72735/ http://irep.iium.edu.my/72735/ http://irep.iium.edu.my/72735/1/72735_Colonic%20Perforation%20in%20Percutaneous.pdf |
| Summary: | We aim to report a rare case of colonic perforation post percutaneous nephrolithotomy (PCNL) and
its conservative management. We report a 63-year-old Malay, thalassemia carrier male who
underwent an uncomplicated left PCNL for a left renal stone. On second postoperative day,
clinically evidence of subcutaneous emphysema. Serial CXR imaging confirmed presence of air
under diaphragm. Small colonic perforation was diagnosed which subsequently developed localized
collection retroperitoenally. He was successfully treated with non-operative management including
intravenous antibiotic, surgical drainage and good nutrional has successfully support healed the
collection. Serial CT renal protocol showed a healed retroperitoneal collection and patient made a
good clinical recovery. PCNL has promising stone clearance rate. However, it carries complications.
A rare yet important complication; colonic perforation is a serious complication that if detected
earlier, good clinical recovery can be achieved conservatively |
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