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A Major Complication in Micropercutaneous Nephrolithotomy: Upper Calyceal Perforation with Extrarenal Migration of Stone Fragments due to Increased Intrarenal Pelvic Pressure
Joint Authors
Akbulut, Fatih
Simsek, Abdulmuttalip
Gurbuz, Gokhan
Kucuktopcu, Onur
Ucpinar, Burak
Savun, Metin
Ozgor, Faruk
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Micropercutaneous nephrolithotomy is a safe and efficient technique for appropriate sized stones.
It is performed through a 4.85 Fr all-seeing needle and stones are fragmented into dust, without the need for tract dilatation, unlike other percutaneous nephrolithotomy types.
Even though micropercutaneous nephrolithotomy has many advantages, increase in intrapelvic pressure during surgery may cause rare but serious complications.
Herein we report a case of micropercutaneous nephrolithotomy in a 20-year-old woman with a 20 mm right renal pelvis stone and present an undesired outcome of this complication, upper calyceal perforation.
Right lower calyceal access was performed with 4.85 Fr all-seeing needle and 2 cm renal pelvis stone was fragmented by 272 μm Holmium-Yag laser system.
Upper calyceal perforation and infrahepatic accumulation of stone fragments were detected by fluoroscopy during the surgery.
Postoperative imagings revealed perirenal urinoma, perirenal and infrahepatic stone fragments, and lower calyceal stone fragments inside the system.
On second postoperative day, minipercutaneous nephrolithotomy and double J catheter insertion procedures were applied for effective drainage and stone clearance.
Risk of calyceal perforation and urinoma formation, due to increased intrapelvic pressure during micropercutaneous nephrolithotomy, should be kept in mind.
American Psychological Association (APA)
Akbulut, Fatih& Ucpinar, Burak& Savun, Metin& Kucuktopcu, Onur& Ozgor, Faruk& Simsek, Abdulmuttalip…[et al.]. 2015. A Major Complication in Micropercutaneous Nephrolithotomy: Upper Calyceal Perforation with Extrarenal Migration of Stone Fragments due to Increased Intrarenal Pelvic Pressure. Case Reports in Urology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060277
Modern Language Association (MLA)
Akbulut, Fatih…[et al.]. A Major Complication in Micropercutaneous Nephrolithotomy: Upper Calyceal Perforation with Extrarenal Migration of Stone Fragments due to Increased Intrarenal Pelvic Pressure. Case Reports in Urology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1060277
American Medical Association (AMA)
Akbulut, Fatih& Ucpinar, Burak& Savun, Metin& Kucuktopcu, Onur& Ozgor, Faruk& Simsek, Abdulmuttalip…[et al.]. A Major Complication in Micropercutaneous Nephrolithotomy: Upper Calyceal Perforation with Extrarenal Migration of Stone Fragments due to Increased Intrarenal Pelvic Pressure. Case Reports in Urology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060277
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060277