Splenic injury: rare complication of percutaneous nephrolithotomy: report of two cases with review of literature.
BACKGROUND
Splenic injury is an uncommon complication of percutaneous nephrolithotomy (PCNL).


METHODS
We report herewith two cases of splenic injury that occurred during puncture of the 10th intercostal-space for PCNL.


CONCLUSIONS
One of these patients presented with hypotension on day 5 after discharge from the hospital. Both patients needed emergency laparotomy, and one of them required splenectomy for management of the injury. We reviewed the literature to determine the risk factors and management of splenic injury during PCNL.
Shah
Hemendra Navinchandra
HN
Department of Urology, R.G. Stone Urological Research Institute, Mumbai, India. drhemendrashah@yahoo.co.in
Hegde
Sunil S
SS
Mahajan
Amol P
AP
Sodha
Hiren
H
Shah
Rashmi
R
Bansal
Manish
M
D005260:Female; D006801:Humans; D007022:Hypotension / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects* / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D012307:Risk Factors; D013154:Spleen / Q000293:injuries*; D013156:Splenectomy