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Jejunal perforation during percutaneous nephrolithotrypsy.

M Al-Assiri1, S Binsaleh, J Libman

  • 1Department of Urology at Montreal General Hospital, McGill University, Montreal. mmalassiri@kku.edu.sa

Thescientificworldjournal
|August 3, 2005
PubMed
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Jejunal perforation is a rare complication of percutaneous nephrolithotomy (PCNL). This case report details a successful conservative management of jejunal perforation following PCNL in an elderly patient.

Area of Science:

  • Gastroenterology
  • Urology
  • Surgical Complications

Background:

  • Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
  • Known gastrointestinal complications of PCNL include colonic and duodenal perforations.
  • Jejunal perforation is an undocumented complication of PCNL.

Observation:

  • An 83-year-old male patient underwent left PCNL for a 2cm renal pelvis stone.
  • Post-procedure, the patient was diagnosed with a jejunal perforation.
  • The patient's condition was successfully managed conservatively.

Findings:

  • This case represents the first reported instance of jejunal perforation secondary to PCNL.
  • Conservative management was effective in resolving the jejunal perforation.

Related Experiment Videos

  • The diagnostic workup and treatment strategies for this rare complication are discussed.

    • Implications:

    • Highlights the potential for rare gastrointestinal injuries during PCNL.
    • Emphasizes the importance of considering jejunal injury in the differential diagnosis of post-PCNL abdominal complications.
    • Suggests conservative management may be a viable option for jejunal perforation post-PCNL.