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 withdra...

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Veröffentlicht in:Journal of endourology 2005-07, Vol.19 (6), p.722-723
Hauptverfasser: SHAW, G, WAH, T. M, KELLETT, M. J, CHOONG, S. K. S
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creator SHAW, G
WAH, T. M
KELLETT, M. J
CHOONG, S. K. S
description 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a blood loss of 1.5 L. He was managed with antibiotics, bed rest, heparin, and a 28F nephrostomy catheter, which was withdrawn gradually as the tract sealed.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.
doi_str_mv 10.1089/end.2005.19.722
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subjects Biological and medical sciences
Follow-Up Studies
Hemostasis, Surgical - methods
Humans
Kidney - abnormalities
Kidney - diagnostic imaging
Kidney Calculi - diagnostic imaging
Kidney Calculi - therapy
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Nephrostomy, Percutaneous - adverse effects
Nephrostomy, Percutaneous - methods
Renal Veins - diagnostic imaging
Renal Veins - injuries
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome
title Management of renal-vein perforation during a challenging percutaneous nephrolithotomy
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