Intravenous misplacement of the nephrostomy catheter following percutaneous nephrolithotomy: A case report and review of 26 cases in the literature

Intravenous misplacement of the nephrostomy catheter following percutaneous nephrolithotomy (PCNL) is severe and extremely rare, and little information is available about this complication. Because the patient's prognosis may be poor, sufficient attention should be paid to early identification...

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Bibliographic Details
Published in:Radiology case reports 2024-11, Vol.19 (11), p.5287-5293
Main Authors: Cuong, Nguyen Ngoc, My, Thieu Thi Tra, Thao, Bui Thi Phuong, Van Anh, Nguyen Thanh
Format: Article
Language:English
Subjects:
Catheter withdrawal
Misplacement
Nephrostomy catheter
Percutaneous nephrolithotomy
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Summary:Intravenous misplacement of the nephrostomy catheter following percutaneous nephrolithotomy (PCNL) is severe and extremely rare, and little information is available about this complication. Because the patient's prognosis may be poor, sufficient attention should be paid to early identification and treatment of this complication. We report a case with intravenous misplacement of nephrostomy catheter and severe bleeding from the catheter after PCNL was transferred to our hospital. The patient was successfully managed using a two-step intervention. First, the patient underwent embolization of the pseudoaneurysms in renal parenchyma, then underwent catheter withdrawal under digital subtraction angiography (DSA) and control bleeding by pushing the absorbable hemostatic material (Surgicel) into the tunneled renal drainage. There were no severe complications. Withdrawal could be performed by open surgery or under the supervision of imaging modalities. Some reports showed that minimally invasive management was safer and less invasive than open surgery.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.07.147