Jejunal Injury as a Rare Complication of Percutaneous Nephrolithotomy: Case Report

Colonic injury represents a rare complication of percutaneous nephrolithotomy (PCNL). Injury of the small bowel is very rare, with only anecdotal case reports in the literature. We report here a rare PCNL complication of jejunal perforation without concomitant colonic injury. A 45-year-old male unde...

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Bibliographic Details
Published in:Journal of endourology case reports 2017, Vol.3 (1), p.70-73
Main Authors: Al-Kohlany, Khaled M, Telha, Khaled A, Al-Lahabi, Noman, Almahmoud, Hani M
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Case reports
Injuries
Pain
Surgery
Urology
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Summary:Colonic injury represents a rare complication of percutaneous nephrolithotomy (PCNL). Injury of the small bowel is very rare, with only anecdotal case reports in the literature. We report here a rare PCNL complication of jejunal perforation without concomitant colonic injury. A 45-year-old male underwent PCNL for multiple left kidney stones. At the beginning of the procedure, we faced difficulty in achieving access, but after that the procedure was straightforward and ended smoothly. However, from the third day, the postoperative course became stormy with progressive development of picture of acute peritonitis. Laparotomy was mandatory and jejunal perforation was found and repaired. Although extremely rare, small bowel injury should be kept in mind during planning for percutaneous nephrolithotomy. Prompt diagnosis and active treatment should be undertaken without delay especially if picture of acute peritonitis is developed.
ISSN:2379-9889
2379-9889
DOI:10.1089/cren.2017.0025