title: Management of colonic perforation during percutaneous nephrolithotomy in horseshoe kidney.
abstract: Few cases of colonic injury during percutaneous nephrolithotomy (PCNL) have been reported in orthotopic kidneys and none in horseshoe kidney, and the management protocol has not been standardized. A plain film on postoperative day 1 following PCNL showed contrast medium in the descending colon, leading to the diagnosis of colonic injury in a 53-year-old male patient with horseshoe kidney and multiple bilateral stones. He was asymptomatic and was treated successfully by minimally invasive techniques. An asymptomatic patient with a colonic injury following PCNL can be treated by minimal manipulations. Computed tomography imaging is necessary prior to percutaneous surgery on a horseshoe kidney.
authors.affiliation: Department of Urology, Post Graduate Institute of Medical Education & Research, Chandigarh, India. agoswami@yahoo.com
authors.forename: A K
authors.initials: AK
authors.lastname: Goswami
authors.forename: P
authors.initials: P
authors.lastname: Shrivastava
authors.forename: A
authors.initials: A
authors.lastname: Mukherjee
authors.forename: S K
authors.initials: SK
authors.lastname: Sharma
mesh_terms: D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D007668:Kidney / Q000002:abnormalities*; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed