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Colon perforation: a rare complication during percutaneous nephrolithotomy
Yung-Shun Juan1, Chun-Hsiung Huang, Shu-Mien Chuang
1Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Taiwan.
The Kaohsiung Journal of Medical Sciences
|March 30, 2006
Summary
Percutaneous nephrolithotomy (PCNL) can rarely cause colon perforation. Conservative management with urinary stenting and antibiotics is presented as a viable option for this serious complication.
Area of Science:
- Urology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stones.
- Colon perforation is a rare but serious complication of PCNL.
Observation:
- A case of colon perforation occurred during PCNL.
- The perforation was managed conservatively.
Findings:
- Urinary tract stenting was performed.
- The PCNL catheter was utilized as a temporary colostomy tube.
- Broad-spectrum antibiotics were administered.
Implications:
- This case highlights a conservative management strategy for PCNL-induced colon perforation.
- Understanding renal access anatomy is crucial for prevention.
- Urologists should be aware of this rare complication.