Double infundibular obliteration with abscess formation after percutaneous nephrolithotomy
1Erasmus Urological Stone Treatment and Research Rotterdam (EUROSTARR), Department of Urology, Erasmus Academic Hospital, Rotterdam, The Netherlands.
Urologia Internationalis
|January 11, 2001
Summary
An unusual complication following percutaneous nephrolithotomy and shock wave lithotripsy (SWL) led to kidney division and abscess formation. This rare event resulted in partial nephrectomy due to failed endoscopic repair.
Area of Science:
- Nephrology
- Urology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) and SWL are common procedures for kidney stones.
- Infectious staghorn calculi pose treatment challenges.
- Complications, though rare, can significantly impact renal function.
Observation:
- A patient developed a double infundibular stricture post-PCNL and SWL for an infectious staghorn calculus.
- The stricture divided the kidney into three compartments, leading to abscess formation.
- Despite no initial infection symptoms, upper kidney function was lost.
Findings:
- Endoscopic surgery (retrograde and antegrade) failed to restore uretero-caliceal system continuity.
- The complication necessitated a partial nephrectomy.
- The case highlights a rare but severe outcome of PCNL and SWL.
Implications:
- Understanding the etiologies and contributing factors of infundibular strictures post-PCNL/SWL is crucial.
- Preventive strategies for this rare complication need further investigation.
- This case underscores the importance of vigilant monitoring for delayed complications after stone removal procedures.
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