Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient : Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mechanical Ventilation?
Joint Authors
Vaidyanathan, Subramanian
Soni, Bakul M.
Hughes, Peter L.
Singh, Gurpreet
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A 22-year-old male sustained C-6 tetraplegia in 1992.
In 1993, intravenous pyelography revealed normal kidneys.
Suprapubic cystostomy was performed.
He underwent open cystolithotomy in 2004 and 2008.
In 2009, computed tomography revealed bilateral renal calculi.
Coagulum pyelolithotomy of left kidney was performed.
Pleura and peritoneum were opened.
Peritoneum could not be closed.
Following surgery, he developed pulmonary atelectasis; he required tracheostomy and mechanical ventilation.
He did not tolerate nasogastric feeding.
CT of abdomen revealed bilateral renal calculi and features of proximal small bowel obstruction.
Laparotomy revealed small bowel obstruction due to dense inflammatory adhesions involving multiple small bowel loops which protruded through the defect in sigmoid mesocolon and fixed posteriorly over the area of previous intervention.
All adhesions were divided.
The wide defect in mesocolon was not closed.
In 2010, this patient again developed vomiting and distension of abdomen.
Laparotomy revealed multiple adhesions.
He developed chest infection and required ventilatory support again.
He developed pressure sores and depression.
Later abdominal symptoms recurred.
This patient’s general condition deteriorated and he expired in 2011.
Conclusion.
Risk of postoperative complications could have been reduced if minimally invasive surgery had been performed instead of open surgery to remove stones from left kidney.
Suprapubic cystostomy predisposed to repeated occurrence of stones in urinary bladder and kidneys.
Spinal cord physicians should try to establish intermittent catheterisation regime in tetraplegic patients.
American Psychological Association (APA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Singh, Gurpreet& Hughes, Peter L.. 2013. Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient : Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mechanical Ventilation?. Case Reports in Urology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-490151
Modern Language Association (MLA)
Vaidyanathan, Subramanian…[et al.]. Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient : Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mechanical Ventilation?. Case Reports in Urology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-490151
American Medical Association (AMA)
Vaidyanathan, Subramanian& Soni, Bakul M.& Singh, Gurpreet& Hughes, Peter L.. Postoperative Complications Leading to Death after Coagulum Pyelolithotomy in a Tetraplegic Patient : Can We Prevent Prolonged Ileus, Recurrent Intestinal Obstruction due to Adhesions Requiring Laparotomies, Chest Infection Warranting Tracheostomy, and Mechanical Ventilation?. Case Reports in Urology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-490151
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490151