Splenic injury during percutaneous nephrolithotomy: a case report with novel management technique.
We describe a case of a splenic injury caused by a transsplenic percutaneous nephrostomy tract. The case was completed without incident and the nephrostomy tube was noted to traverse the spleen on routine postoperative imaging. This rare complication was managed by deposition of Gelfoam((R)) pledgets along the transsplenic nephrostomy tract and placement of a ureteral stent. This novel management technique has not been previously described in the literature and was successful in the conservative treatment of the uncommon complication of splenic injury during percutaneous nephrolithotomy.
Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri 63110, USA. desaia@wudosis.wustl.edu
Alana C
AC
Desai
Samay
S
Jain
Brian M
BM
Benway
Robert L
RL
Grubb
Daniel
D
Picus
Robert S
RS
Figenshau
D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D013154:Spleen / Q000000981:diagnostic imaging / Q000293:injuries*; D015607:Stents; D014057:Tomography, X-Ray Computed