title: Biliary peritonitis due to gall bladder perforation after percutaneous nephrolithotomy.
abstract: A 19-year-old male patient underwent right percutaneous nephrolithotomy (PNL) for right renal 1.5 × 1.5 cm lower pole stone. The procedure was completed uneventfully with complete stone clearance. The patient developed peritonitis and shock 48 h after the procedure. Exploratory laparotomy revealed a large amount of bile in the abdomen along with three small perforations in the gall bladder (GB) and one perforation in the caudate lobe of the liver. Retrograde cholecystectomy was performed but the patient did not recover and expired post-operatively. This case exemplifies the high mortality of GB perforation after PNL and the lack of early clinical signs.
authors.affiliation: Department of Urology, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Ranjan
authors.affiliation: Department of Urology, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India.
authors.forename: Rana Pratap
authors.initials: RP
authors.lastname: Singh
authors.affiliation: Department of Urology, Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Tiwary
keywords: Biliary peritonitis; gall bladder perforation; percutaneous nephrolithotomy