Life-threatening Biliary Complications after Percutaneous Nephro-Lithotomy: a Case Report

Ricciardi, S; Sallustio, Pierluca; Troisi, Roberto

doi:10.1080/00015458.2007.11680070

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…[ 1 ] Although rare with only a handful of reports, this is a potentially life-threatening complication, especially if not aggressively managed. [ 4 5 ] Gall bladder perforation leads to intraperitoneal accumulation of bile and, if not treated early, can cause sepsis that will need emergency laparotomy and cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients with biliary tract injury during PCNL have been managed with cholecystectomy, either open[ 5 ] or laparoscopic. [ 1 ] Patil et al described a case wherein, after intraoperative aspiration of bile, the procedure was completed and the patient was managed conservatively with Ryles’ tube aspiration, antibiotics and intravenous fluids.…”

Section: Discussionmentioning

confidence: 99%

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Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management

Yadav

Singh

2015

Indian J Urol

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Percutaneous nephrolithotomy (PCNL) is a standard procedure for large renal calculi but has potential for complications. Rarely, biliary tract injury can occur during PCNL that can lead to biliary peritonitis with sepsis. Such cases are usually managed by emergent cholecystectomy. We present a case of biliary peritonitis resulting from gall bladder injury during PCNL, managed minimally invasively with an abdominal drain and endoscopic retrograde cholangiography with common bile duct stenting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management

Yadav

Singh

2015

Indian J Urol

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“…In a study of 8000 ultrasound-guided punctures, only 4 incidents were reported and none of them was with a renal puncture target ( 10 ). In review of the literature, there are few cases of biliary tract injury during isolated nephrostomy ( 6 ) or percutaneous nephrolithotomy ( 2 , 4 , 5 ), all of which have been managed by cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Management of Biliary Tract Injury Following Percutaneous Nephrolithotomy

et al. 2014

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Introduction:Percutaneous nephrolithotomy is generally considered a safe option for the management of large complex or infectious upper urinary tract calculi. Biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality, especially in cases where biliary peritonitis develops. All reported cases of biliary tract injury have been managed by either open or laparoscopic cholecystectomy.Case Presentation:Herein for the first time, we report a 39-year old woman with biliary tract injury following percutaneous nephrolithotomy who was managed less invasively by insertion of a percutaneous cholecystostomy tube. The patient was discharged home shortly thereafter, and the tube was later removed at a follow up visit after a normal cholangiogram.Conclusions:Biliary tract injury is a rare and potentially serious complication of percutaneous nephrolithotomy that can even lead to mortality. If a biliary tract injury is suspected during percutaneous renal procedures, diverting the bile away from the leak may resolve the problem without the need for a cholecystectomy. Ideally this can be done with ERCP and a stent, but in cases where this is not technically feasible; a percutaneous cholecystostomy can be successful at accomplishing the same result.

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“…Till date, only six cases have been documented in literature [3]. This complication is life threatening if mismanaged [4]. Other organ injuries such as spleen, liver and colon have been documented, with gall bladder injuries being the least common.…”

Section: Discussionmentioning

confidence: 99%

Conservative management of accidental gall bladder puncture during percutaneous nephrolithotomy

Patil

Kundargi

Patil

et al. 2014

CEJU

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Percutaneous nephrolithotomy (PCNL) has been an excellent option for the management of kidney stones. There have been many complications in regards to solid organ injury during PCNL. Here we discuss an interesting case of 45-year-old woman, who underwent PCNL for right renal staghorn calculus, and had an accidental puncture of the gall bladder. Post operatively, the patient was conservatively managed and recovered well. A small number of cases has been reported until now in literature.

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Life-threatening Biliary Complications after Percutaneous Nephro-Lithotomy: a Case Report

Cited by 9 publications

References 9 publications

Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management

Biliary peritonitis following percutaneous nephrolithotomy: Minimally invasive management

Minimally Invasive Management of Biliary Tract Injury Following Percutaneous Nephrolithotomy

Conservative management of accidental gall bladder puncture during percutaneous nephrolithotomy

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