Iatrogenic hydrohemothorax during percutaneous nephrolithotomy: A case report

2021 ◽  
Vol 1 (2) ◽  
pp. 079-082
Author(s):  
Tae Yeon Kim ◽  
Kyu Nam Kim ◽  
Lee Kwang Hyun ◽  
Bo Seok Kwon ◽  
Jo Hyung Jun
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Vital Signs ◽  
Pulmonary Complications ◽  
Fluid Retention ◽  
Air Bubbles ◽  
Close Cooperation ◽  
The Right ◽  
Pleural Injury ◽  
Routine Chest

Background: Percutaneous nephrolithotomy (PNL) is a widely used surgical method for renal stone management. However, it can be associated with several complications. Case: We report an acute hemothorax during PNL in 57-year-old male patient with a stone. After observing air bubbles at the diaphragm on the laparoscopic screen, we considered pulmonary complications. A chest radiograph demonstrated a shade that measured 130 mm wide and 70 mm long and fluid retention on the right side of the chest. During drainage of 200 ml of blood through a chest tube, the patient’s vital signs became unstable. After the patient received hydration and intravenous injection of vasopressor, his vital signs stabilized. Conclusions: Pulmonary complications due to pleural injury during PNL can result in death, but the complications can be managed by early diagnosis and treatment. Close cooperation between surgeon and anesthesiologist and routine chest radiographs after PNL can reduce the pulmonary complications.

scholarly journals Delayed Migration of Embolized Coil with Large Renal Stone Formation: A Rare Presentation

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Santosh Kumar ◽  
Kumar Jayant ◽  
Shrawan K. Singh ◽  
Kalpesh M. Parmar ◽  
Sudheer K. Devana ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Stone Formation ◽  
Liver Function Tests ◽  
Rare Presentation ◽  
Delayed Bleeding ◽  
Normal Limits ◽  
Function Tests ◽  
Embolization Coil ◽  
The Right

Delayed bleeding following percutaneous nephrolithotomy (PCNL) usually occurs due to development of the pseudoaneurysm which can be successfully managed with coil embolization. However very few cases of such complications have been reported in the literature. Here we are reporting a case of delayed post-PCNL bleeding that occurred in a 53-year-old diabetic patient operated on for renal stone. Computed tomography scan revealed a presence of the pseudoaneurysm in the segmental branch of right renal artery, which was successfully managed with coiling. Patient remained asymptomatic for the next 9 years after which he again presented with similar complaints. X-ray KUB was done which revealed a 2.7 cms renal pelvic calculus with the migrated coil in its center and a left upper ureteric calculus. His routine haemogram, coagulogram, serum electrolytes, and liver function tests, renal function tests, vitamin D3, and PTH (parathyroid hormone) were within normal limits. He underwent left laparoscopic ureterolithotomy and right percutaneous nephrolithotomy (PCNL). Intraoperatively the migrated stainless steel embolization coil was seen engulfed all around by the multiple stones in the right renal pelvis. Postoperative period was uneventful. Later he was followed in the outpatient department and was doing well. To conclude, this is the only case report of development of a large calculus around a migrated embolization coil which was successfully managed with PCNL. PCNL offers better stone clearance in cases of stones being formed over foreign bodies like fragmented double J stents, fragmented nephrostomies, or migrated embolization coil.

scholarly journals Supine Percutaneous Nephrolithotomy in a Patient with Solitary Lung: A Case Report and Literature Review

2021 ◽  
Vol 122 (4) ◽  
pp. 294-299
Author(s):  
Yavuz Onur Danacıoğlu ◽  
Yusuf Arıkan ◽  
Fatih Akkaş ◽  
Emre Şam ◽  
Deniz Noyan Özlü ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Risk Group ◽  
High Risk Group ◽  
Complication Rates ◽  
Surgical History ◽  
History Of ◽  
The Right

Percutaneous nephrolithotomy (PNL) surgeries are performed with different patient positions, anesthesia methods and different-sized access sheaths in order to reduce the complication rates. Supine positioned PNL can be performed safely in the high-risk group patients with comorbidities. Herein, we present a patient who had a past surgical history of right pneumonectomy and underwent a supine PNL procedure under regional anesthesia for a staghorn renal stone in the right kidney.

scholarly journals Safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy in the management of renal stones ≤ 2 cm: a single-center experience

2019 ◽  
Vol 25 (1) ◽  
Author(s):  
Elsayed M. Salih ◽  
Ibrahim Elsotohi ◽  
Hisham Elhelaly ◽  
Mohamed Elsalhy ◽  
Mourad M. Mourad
Keyword(s):  
Minimally Invasive ◽  
Percutaneous Nephrolithotomy ◽  
Renal Stone ◽  
Renal Stones ◽  
Stone Size ◽  
Intraoperative Complication ◽  
Safety And Efficacy ◽  
Single Center Experience ◽  
Minimally Invasive Percutaneous Nephrolithotomy ◽  
The Mean

Abstract Background The goal for using smaller caliber instruments in PNL was to reduce the access-related complications and to decrease morbidity. The objective of this study was to evaluate the safety and efficacy of Chinese minimally invasive percutaneous nephrolithotomy (MIPNL) in the treatment of renal stones ≤ 20 mm. Results Sixty-seven patients completed the study protocol. The mean age was 41.10 ± 13.99 years (range 18–68 years). There were 43 (64%) male and 24 (36%) females. The mean stone size was ranged from 78.5 to 439.6 mm2 (mean ± SD 172.48 ± 69.54 mm2). The overall SFR was (82%). Twelve (18%) needed post-MIPNL auxiliary procedure, in the form of second MIPNL in 3 (4.5%) cases, SWL in 7 (10%), and RIRS in 2 (3%) cases. The intraoperative complication was present in four patients (5%) include bleeding necessitate blood transfusion in one patient (1.5%) and renal collecting system perforation 3 (4.5%). The postoperative complication was urine leakage 5 (7.5) and fever in 6 (9%) of patients. Conclusion Chinese MIPNL is safe and effective method for treatment of renal stone ≤ 20 mm size with satisfactory SFR and low complication rate when SWL failed or contraindicated. It is considered a feasible treatment alternative to standard PNL, in the absence of flexible URS or miniature nephroscope.

MANAGEMENT OF RESIDUAL RENAL STONE FRAGMENTS AFTER PERCUTANEOUS NEPHROLITHOTOMY: ABOUT 63 PATIENTS

2006 ◽  
Vol 5 (2) ◽  
pp. 111
Author(s):  
S. Sallami ◽  
M. Cheliff ◽  
I. Bensalah ◽  
G. Hafsia ◽  
S. Ben Rhouma ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stone

scholarly journals INDUSTRY REVOLUTION 4.0 : STRENGHTHENING THE CREATIVE ECONOMY SECTORS THROUGH BEKRAF IMPLEMENTATION PROGRAMS

2020 ◽  
Vol 5 (01) ◽  
pp. 84-108
Author(s):  
I Wayan Aditya Harikesa
Keyword(s):  
Social Inclusion ◽  
Creative Industries ◽  
Creative Economy ◽  
The World ◽  
Close Cooperation ◽  
Economic Foundation ◽  
The Government ◽  
Small Medium Enterprises ◽  
The Right ◽  
Medium Enterprises

President Joko Widodo or Jokowi has made a great leap in enhancing Indonesia�s Small Medium Enterprises (SME)s and the country�s overall creative industries by establishing a new non ministerial institution called Badan Ekonomi Kreatif (BEKRAF) or the Creative Economy Agency. The BEKRAF, established under the Presidential Regulation Number 6 of 2015 issued on January 20, 2015, is responsible for accelerating the development of creative economy in Indonesia. Small Medium Enterprises (SMEs) have been playing crucial roles for generating economic progresses as well as social inclusion in Indonesia. Among the most important and worthy of priority is the country�s creative economy. The existence of BEKRAF will enhance close cooperation between the government, SMEs players and related economic stakeholders. This paper aims to assess the concept of �Creative Industries,� as a boundary concept that allows for increased co-operation between players and the generally opposing knowledge concepts�as reflected in their respective knowledge and cultural politics. Indonesia has great potential in terms of economic growth. In 2015, Indonesia�s Gross Domestic Product (GDP) rocketed to 4.79 percent, far above the previous expectation of only 2.4 percent. This encouraging climate is indeed the right moment for the government to strengthen the country�s economic foundation particularly in the real economic sector. Hence, BEKRAF has a vision to build Indonesia as one of the world�s great economic powers in the field of creative economy by 2030. This issue will be discussed comprehensively in the final part of the paper.

scholarly journals Abramchik and Ostrovsky: the struggle for leadership among the Belarusian post-war emigration

2021 ◽  
pp. 272-290
Author(s):  
Evgenii V. Kodin
Keyword(s):  
Cold War ◽  
The United States ◽  
Intelligence Agency ◽  
Communist System ◽  
Close Cooperation ◽  
Direct Delivery ◽  
Post War ◽  
The Right ◽  
The Cold War ◽  
To Receive

The post-war Belarusian emigration, both in Europe and in the United States, was divided into two main groups: the supporters of the President of the Belarusian Central Rada R. K. Ostrowski (Astrouski) and the Chairman of the BNR Rada N. S. Abramchyk. The declassified CIA documents indicate that this was not just a rivalry for the right to speak and act on behalf of the entire Belarusian emigration, but also to receive substantial dividends from close cooperation with the American intelligence agency in the implementation of plans to destabilize the situation in Belarus through the preparation of various kinds of espionage and subversive operations, up to the direct delivery of agents to the territory of the BSSR in the 1950s, as well as in information and propaganda work against the Soviet Belarus. This confrontation took various forms: from accusations of direct collaboration with the Nazis during the war (Ostrowski) to the self-appointment as the head of the Belarusian Folk Republic (Abramchyk). The visions of the future of free Belarus and its foreign policy between these actors differed, as well as the means and methods of struggle for the liberation of the Belarusian people from the communist system. At the same time, both Abramchyk and Ostrowski understood well that in order to strengthen their positions among the Belarusian emigration, close relations with those who built and financed the anti-Soviet policy of the West during the Cold War were important. First of all, it was about the American intelligent services. And here Abramchyk won an obvious victory, and Ostrowski’s main former comrades-in-arms were soon going to move to his camp.

scholarly journals Tuberculous Sacroiliitis after a Penicillin Injection: A Case Report

2020 ◽  
Author(s):  
Mohammad Darvishi ◽  
Sana Rashidi ◽  
Setayesh Abazari
Keyword(s):  
Sacroiliac Joint ◽  
Vitamin B6 ◽  
Laboratory Data ◽  
Vital Signs ◽  
Major Health ◽  
The Past ◽  
Osteoarticular Tuberculosis ◽  
Lung Auscultation ◽  
The Right ◽  
Time Of Admission

Tuberculosis is one of the major health problems in developing countries affecting different organs such as bone and joints. One of the most important involvements of osteoarticular tuberculosis is that of the sacroiliac joint. In addition, its incidence has increased over the past several years. Early diagnosis is necessary to prevent further disorders such as neurological and surgical complications. We report a tuberculous arthritis case in the right sacroiliac joint, which developed after penicillin injection. The patient was a 32-year-old man admitted to Besat hospital, Tehran, Iran. He complained of pain, erythema and swelling in his right buttock starting approximately 17 years previously, after a penicillin injection, which was followed by the emergence of an orifice with yellow secretions. Over the years, the secretions continued but the pain, swelling and erythema were resolved. At the time of admission, his vital signs were stable and normal. In the physical examination, an orifice with a small amount of yellow secretion was detected on the right buttock as claimed by the patient. Lung auscultation was clear. No lymphadenopathy was detected. Laboratory data were normal. During hospitalization, initial antibiotic therapy was prescribed. After Mycobacterium tuberculosis was detected in culture, a 4-drug anti-TB therapy encompassing rifampin, isoniazid, ethambutol and pyrazinamide was prescribed for 18–24 months, in addition to daily vitamin B6 and pantoprazole.

scholarly journals Rumpel-Leede Phenomenon: A Case Report

1970 ◽  
Vol 9 (4) ◽  
Author(s):  
Rehman HU, MBBS, FRCPC ◽  
Kambo J, MD
Keyword(s):  
Complete Blood Count ◽  
Vital Signs ◽  
Liver Function Tests ◽  
Left Hand ◽  
Lower Base ◽  
Associated Symptoms ◽  
Chest Auscultation ◽  
History Of ◽  
Artery Disease ◽  
The Right

A 72-year-old woman presented with a one-week history of fever, non-productive cough, and three unwitnessed syncopal episodes, with no other associated symptoms. She had poor recollection of the episodes, but denied urinary/fecal incontinence, tongue biting, numbness, parasthesias, or weakness. Her medical history was significant for hypertension, dyslipidemia, leg ulcers, psoriasis, stress incontinence, and gastroesophageal reflux disease. She did not have diabetes, coronary artery disease, or peripheral vascular disease. Her medications included Atorvastatin, Enalapril, Hydrochlorothiazide, Lansoprazole, and Calcium. She did not smoke or drink. On examination, her vital signs were stable and she was afebrile. Chest auscultation revealed crackles in the right lower base. She developed an erythematous, lacy sharply demarcated rash on her left hand that lasted for 3–4 hours after her blood pressure was taken on the same arm (Figures 1 and 2). Blood tests were unremarkable and included glucose, complete blood count, electrolytes, urea, creatinine, liver function tests, and coagulation studies.

scholarly journals Aeromonas hydrophila endocarditis with ruptured mycotic aneurysm of right renal artery

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Maria Elena Pugliese ◽  
Marco Falcone ◽  
Alessandra Oliva ◽  
Federico Faccenna ◽  
Denise D’Aluisio ◽  
...  
Keyword(s):  
Renal Artery ◽  
Aeromonas Hydrophila ◽  
Mycotic Aneurysm ◽  
Vital Signs ◽  
Lumbar Pain ◽  
Cardiac Ultrasound ◽  
Blood Cell Count ◽  
Clinical Syndromes ◽  
Inflammatory Drugs ◽  
The Right

A<em>eromonas hydrophila</em> has been infrequently reported as a cause of infection in humans. It has been associated with a variety of clinical syndromes but Aeromonas-related endocarditis is extremely rare. We present the case of a 76- year-old diabetic patient who was admitted to our hospital due to severe lumbar pain resistant to nonsteroidal anti-inflammatory drugs accompanied by fever (up to 38.5°C). The vital signs were normal and the physical examination was unremarkable except for tenderness over right flank. Laboratory investigation showed a mild leukocytosis (white blood cell count of 11,360×106/L) with elevation of inflammatory markers. Cardiac ultrasound showed a large vegetation on the mitral valve. Abdominal computed tomogrpahy revealed a ruptured aneurysm of the right renal artery. Multiple sets of blood culture grew<em> A. hydrophila.</em>

Punctures versus shocks: a comparison of renal functional and structural changes after percutaneous nephrolithotomy and shockwave lithotripsy for solitary renal stone

2019 ◽  
Vol 13 (4) ◽  
pp. 254-260
Author(s):  
Nitin Shrivastava ◽  
Brusabhanu Nayak ◽  
Prabhjot Singh ◽  
Prem N Dogra ◽  
Rakesh Kumar ◽  
...  
Keyword(s):  
Glomerular Filtration Rate ◽  
Glomerular Filtration ◽  
Percutaneous Nephrolithotomy ◽  
Filtration Rate ◽  
Structural Changes ◽  
Renal Stone ◽  
Dimercaptosuccinic Acid ◽  
Shockwave Lithotripsy ◽  
Renal Unit ◽  
Number Of Patients

Objective: To evaluate renal functional and structural changes following percutaneous nephrolithotomy and shockwave lithotripsy for solitary non-obstructing non-staghorn renal stone. Materials and methods: Patients with solitary unilateral non-staghorn renal stones who were planned for percutaneous nephrolithotomy (20 patients) and shockwave lithotripsy (20 patients) were prospectively evaluated for renal functional and structural changes 60 days after the procedure and complete clearance of stones. Tc99-dimercaptosuccinic acid was used to assess cortical scarring and Tc99-diethylenetriamine pentaacetic acid and Tc99-levo levo ethylecysteine were used for glomerular filtration rate calculations, respectively. Results: The mean stone size was 24.4 mm and 13.7 mm in the percutaneous nephrolithotomy group and the shockwave lithotripsy group, respectively. No new cortical scars developed in either of the groups on Tc99-dimercaptosuccinic acid scan. Both the treated and untreated kidneys showed an overall insignificant fall in glomerular filtration rate in both the groups. The number of patients showing significant deterioration in the individual glomerular filtration rate in both the treated and untreated renal unit was more in the shockwave lithotripsy group. Conclusion: Both percutaneous nephrolithotomy and shockwave lithotripsy are comparable in terms of adverse effects on renal parenchyma and renal function. Level of evidence: Not applicable for this multicentre audit.

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