Management of renal-vein perforation during a challenging percutaneous nephrolithotomy.
A 54-year-old man with complex urinary anatomy as the result of previous surgery sustained a renal-vein injury during percutaneous nephrolithotomy for a staghorn calculus with a blood loss of 1.5 L. He was managed with antibiotics, bed rest, heparin, and a 28F nephrostomy catheter, which was withdrawn gradually as the tract sealed. This case highlights the importance of early diagnosis of this complication and the possibility of conservative management.
Shaw
G
G
Institute of Urology, University College London, London, United Kingdom. gregshaw@doctors.org.uk
Wah
T M
TM
Kellett
M J
MJ
Choong
S K S
SK
D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000002:abnormalities / Q000000981:diagnostic imaging; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000379:methods; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000293:injuries*; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome